This guide outlines the language used in the program Enrollment Form, including instructions, participant choices, and agreement language.

Instructions shown to participant to Enroll:

Instructional message:

Congratulations! You've been selected to receive the grant from the $program_name. If you choose to receive this grant, you will need to fill this enrollment form.

• Please confirm you want to accept the grant by $enroll_close_date to receive your payment.
• If you do not respond by that date, your spot may be offered to another applicant.
• For help, call $support_phone or email $support_email.

Question: Do you want to enroll in the $program_name?

• [ ] Yes
• [ ] No

If user selects "No":

By signing, I agree to NOT enroll in the $program_name.

Thank you for letting us know you do NOT want to participate. We have recorded your response.

You can now exit this screen.

Payment Collection

Instructional message:

We will collect your preferred payment method and the necessary info to issue a 1099 for tax purposes (if applicable).

If your payment method can’t be verified, it may delay disbursement.

You can update your payment method anytime by contacting $support_email or $support_phone.

Question: What payment method do you prefer?

• [ ] Bank Account Direct Deposit. Must be in participant’s name. Fastest, most secure.
• [ ] Debit Card Mailed (Takes 1–2 weeks.)
  • [ ] Please provide the mailing address where your card should be sent. This must be a physical address. No P.O. boxes allowed.
• [ ] Virtual Debit Card
• [ ] Debit Card Pick Up

Grantee Cardholder Agreement

Participants are shown a multi-language agreement outlining:

• Card use terms
• PIN setup
• ATM and transaction limits
• Responsibilities in case of loss or fraud
• Contact info for support