The Seattle Times: Business & Technology: Your Money survey

Whether your biggest goal is to get out of debt, budget better, put your kids through college, or make it during retirement, if you could use some professional financial help, we'd like to hear from you. We'll select four individuals, couples or families to get free financial makeovers. Participants must agree to have the details of their finances published, along with their photographs, in The Seattle Times.

All fields are required unless noted.

Please tell us a few things about yourself:

First name:
Last name:
City:
Daytime phone:	(Please include area code)
Extension:	(optional)
E-mail:
Age:
Occupation:
*Ethnicity:**

* Note: This is important to us because we are looking for a cross-section of people.

Please indicate your employment status:
Employed
Self-employed
Unemployed
Student

Please indicate your marital status:
Single
Married
Divorced

Please indicate your household income level:
Zero-$20,000
$20,001-$40,000
$40,001-$60,000
$60,001-$80,000
$80,001-$100,000
More than $100,000

Please indicate your top financial goal:
Getting out of debt
Learning how to live within my means
Learning how to pay for college for my child(ren)
Planning for retirement

What is dollar amount of your total household debt (including mortgages, credit cards and consumer loans)?

Please tell us a little about your situation and how you would benefit from a financial makeover:

Marketplace

Jobs	Autos	Shopping

Homes	Rentals	Post an ad