OBB

The Benefit Bank Power User Edition Counselor Online Application

Thank you for your interest in TBB Power User! Please complete the form below and click "Submit". All of the fields except "Comments" are required, so the form cannot be submitted until all of the questions have responses. After you have submitted the form, you will see a confirmation message on the screen to let you know that your Application was successfully submitted.

Once your form has been submitted, if approved, your counselor profile permissions will be updated to allow access to the TBB Power User Module.

Date
Is the OBB Counselor Active or Inactive?
Full Name of Your Organization (no abbreviations please)
Organization Address:  

Street:

City, State & Zip:

County:
First and Last Name of the Counselor Requesting Access:
Please enter the Counselor Login Name:
Date of OBB Counselor Training ? (Format: MM/DD/YYYY)
Who is the administrator for your site?
Please tell us about the client base. Who do you serve?
What services does your agency currently provide?
Why do you want to work with TBB Power User?
Please let us know your approximate skill level with computers.
Please provide & double-check your e-mail address.
Any additional information or comments? (Optional)