Micro-Loan

Current Introduction
Chenango Micro-Loan Budget
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The Chenango Micro-Loan Project is designed to offer small interest-free loans to individuals, families, and small businesses who encounter unexpected financial obstacles. It is based on trust and a “pay it forward” concept. Our mission is to help recipients overcome hurdles, enhancing them to continue life in an upwardly mobile direction. The Chenango Micro -Loan Project is organized under Chenango United Way, a non-profit 501©3 organization

First Name

Last Name

Select your county

Chenango

Otsego

Date

Email Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

What Agency/Person Referred you to our program?

Current/most recent employer or work field?

What is the amount requested?

Is there a date of immediate concern?

What will these funds be used for; attach a professional estimate of services, supplies, fees or project costs?

Upload requirements

Attach additional sheets with details

Upload requirements

What is your expected main source of income?

Actual monthly repayment will be determined later.

Please provide the names, phone numbers and/or email addresses for two references.

Name

Phone

Name

Phone

Are you a veteran?

Yes

Are you disabled?

Yes

Ages of children ((<18) living with you

No minors?

Names of other adults in household:

Verify that the above information is accurate and complete, by signing below.

(Please sign here)

The Chenango Micro Loan Project places the highest priority on safeguarding your personal and financial information and takes every precaution to ensure you privacy. You have a right to expect that the information you provide will be accessible only to those who need it in order to serve your needs. This application may take up to 10 business days to be approved due to our need to verify information.

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by CMLP Member (Name)

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