Community Lending Works#6181


Loan Application Form



Minimum amount is $300, and maximum amount is $2,500.


All applicants must be 18 years or older



NOTE: Having a bankruptcy does not automatically disqualify you from being approved for credit.


Enter all sources of income



Note:  By submitting this application you are attesting that the above income is accurate.





We require proof of income. Please attach proof of ALL sources of income.


The following information is used for grant purposes only and will have NO bearing on your credit application. You can elect to not participate if you so choose.

Please make selections in both Race and Ethnicity: (select as many as apply)

Confirmation and Signature

By signing below you understand and agree that you are providing instructions to Community LendingWorks under the Fair Credit Reporting Act (“FCRA”) to access information from your personal credit profile or other information from one or more consumer reporting agencies such as Equifax. This authorization for Community LendingWorks allows them to obtain such information solely to conduct a pre-qualification for credit. By proceeding, we will initiate a credit pull of your credit. We reserve the right to initiate a “soft pull” of your credit in the future, this “soft pull” will not affect your credit score.