Complete one submission form for each educational resource you wish to submit and mail one review copy of each item to the Manager's address below. (If the resource is available online only, provide the direct link to the resource in the Ordering Instruction Box below.) Mail review copy to: Rosella Bannister, Manager Jump$tart Personal Finance Clearinghouse 4161 Thornoaks Drive Ann Arbor, MI 48104 Phone: 734-973-2869 If you have questions when completing this form, contact the Manager at: Email: rosellabannister@hotmail.com Resource Information Title of Resource: Publication Year: Length: (number of pages or minutes if applicable) Author, if applicable: Provider/Source Name: Source Home Page Web Address: Ordering Instructions Please indicate whether the resource may be requested in writing, over the phone, or online and/or may be accessed online. Check all that apply. At least one of the ordering options must be checked and the corresponding information must be provided.  Check here if the resource may be requested in writing.   Provider/Source Name Department Mailing Address: City: State: Zip Code:    Check here if the resource may be requested by phone.   Phone:    If this is a general number, please provide the name of the department or the extension that can take a phone order.   Check here if the resource may be obtained or ordered online.   Please provide the online address that will take the user directly to the resource page, not to the provider's/source homepage. Resource Web Address: Please provide the link that will take the user directly to the order page. Order Form Web Address: Ordering Information Email Address: Price: Please specify a price or check "free" below. Free: Check Here if there is no charge for this material. If the resource is free under certain conditions, please specify. Target Audience(s)    Check all that apply.  Pre-School  5th Grade  11th Grade  Kindergarten  6th Grade  12th Grade  1st Grade  7th Grade  College/Young Adult  2nd Grade  8th Grade  Adult Consumers  3rd Grade  9th Grade  All Audiences  4th Grade  10th Grade   Special Needs Check all that apply. If your material is not adapted for special needs users, skip this section.  Learning Disabled  Hearing Impaired  Visually Impaired  Other:   Resource/Material Type  Audio tape  Game  Simulation  Book (print)  Learning Toy  Teaching Guide  Booklet/Pamphlet  Lesson Plan  Textbook  Calculator  Periodical (print)  Video  CD  Poster or Calendar  Web-Based Materials (download)  DVD "Piggy" Bank, or similar  Web Program (use online)  Workbook  Other, please specify:   Language    Please check the language.  English  Spanish  Chinese  Other, please specify:   Target Users    Check all that apply.  Classroom Teachers  Guided After-School Teaching  Home Teaching  Self-Directed Study  Background Information for Teacher General Content Categories    Check all that apply. Please select at least one category.     Resouce materials must relate to one or more of the National Standards in K-12 Personal Finance Education.  Financial Responsibility and Decision Making Keyword topics such as financial communications, complaint procedures, consumer protection, ethics (business and consumer), financial advisors, fraud, goals, identity theft, information (sources and evaluation), systematic decision-making, wants and needs. Please suggest keywords that describe major topics in the resource you submit    Income and Careers Keyword topics such as employee benefits, entrepreneurship, factors affecting career choice, income sources, job application, payroll deductions, tax calculations. Please suggest keywords that describe major topics in the resource you submit.    Planning and Money Management Keyword topics such as budgeting, car ownership, cash flow statement, charitable giving, checking account, financial calculations, financial plan, financial services, inflation and buying power, housing, lease agreement, recordkeeping, net worth, payment methods (checks, credit and debit cards, online payment) spending behavior, wills. Please suggest keywords that describe major topics in the resource you submit.    Credit and Debt Keyword topics such as auto loan, bankruptcy, credit cards, costs and benefits, counseling, history and credit record, debit cards, easy-access credit, problems, sources and types, credit protection laws and rights, credit worthiness, interest on loans, mortgage loans, student loans, credit cost calculations. Please suggest keywords that describe major topics in the resource you submit.    Risk Management and Insurance Keyword topics such as extended warranty, insurance (auto, disability, health, liability, life, long-term care, property, renter's and government insurance protection), and insurance cost calculations. Please suggest keywords that describe major topics in the resource you submit.    Saving and Investing Keyword topics such as bonds, buying and selling investments, compound interest (time value of money), diversification, dollar-cost averaging, emergency fund, employer sponsored savings plans, individual retirement account (IRA), interest, dividends and yield, investment risk, investment strategies, investor protection, market regulation, mutual funds, rate of return, real estate, rule of 72, savings accounts, social security, stocks, tax-advantaged investments, financial calculations. Please suggest keywords that describe major topics in the resource you submit.   Paragraph Description Provide a summary of the resource you are submitting. Maximum 50 word. Contact Information Form submitted by: Email address: Phone: I will submit a hard copy (print, CD/DVD, video, product, etc.) of this resource for review. Yes No (Required for all submissions, unless the material is available online only.) If we have any questions pertaining to your submission, we will contact you using the information you provided in the Contact Information section above.