Economic Prosperity's Client Intake Form

Owner/Applicant Information
















Immigrant - Any person lawfully in the United States who is not a U.S. citizen, U.S. national, or person admitted under a nonimmigrant category as defined by the Immigration and Nationality Act (INA) section 101(a)(15).

Refugee - Status granted to an individual, prior to departure for and arrival in the United States, who has been determined by competent authority to be fleeing persecution or have a well-founded fear of persecution in their own country because of race, religion, nationality, membership in a particular social group or political opinion.








The justice system is the set of courts and processes that handle legal cases, decide if laws were broken, and determine the consequences.

Business Information










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Additional Owners' Information

















Immigrant - Any person lawfully in the United States who is not a U.S. citizen, U.S. national, or person admitted under a nonimmigrant category as defined by the Immigration and Nationality Act (INA) section 101(a)(15).

Refugee - Status granted to an individual, prior to departure for and arrival in the United States, who has been determined by competent authority to be fleeing persecution or have a well-founded fear of persecution in their own country because of race, religion, nationality, membership in a particular social group or political opinion.






The justice system is the set of courts and processes that handle legal cases, decide if laws were broken, and determine the consequences.

Newsletter
Media Release
I hereby grant Hmong American Partnership (HAP) permission to use my name, image, voice, and/or statements for promotional and publicity purposes, without compensation. I understand that I may be photographed, recorded on video and/or audio, and/or quoted. I release HAP, its staff, and associates from any and all claims, actions, and liabilities that may arise in connection with the use of these materials. I also waive the right to review or approve the material before its use. 
Participant Acknowledgement, Release and Waiver of HAP Liability
By participating in Hmong American Partnership (HAP) programs, you acknowledge and agree to use services and resources according to all laws, rules, grant agreements, and communications by HAP staff regarding the proper uses of services and resources.  You further acknowledge and agree that HAP is not responsible for misuse or exploitation of services or resources provided to you.  You further release HAP from liability and waive your right to sue HAP.

By signing and submitting this form, you confirm your understanding that HAP will not be liable for any actions or outcomes arising from your participation in HAP programs.