Credit Review Interest Form

Multicultural Catalyst Program Credit Review Interest Form
Thank you for your interest in working with our Credit Analyst Partners to review your credit and create a strategy to consolidate, refinance, or otherwise address existing issues.

Having strong credit is an important financial asset. One of the benefits of the Catalyst Fund is that you have the opportunity to work with a Credit Analyst to review your credit and create a strategy to strengthen it. You’ll also have the ability to request a 0% interest personal loan of up to $10,000, if needed, to consolidate, refinance, or otherwise address existing issues.

The first step to the credit evalutation process is to fully complete and submit the inquiry form below. Once submitted, you can expect a response from our partner, Tiarra Wilkie, of Groundbreaking Financial, within a few days regarding next steps. If you have any questions with the application, please email jeremiah@mountainbizworks.org.
Name *

First Name Last Name
Email Address *
Phone Number *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Briefly describe your credit needs. *
Demographic Information

The following information is required for program reporting and statistical monitoring. Your response to these questions will not affect consideration of your application.
How would you describe your race? *

Asian Latino Black or African American Native American White Multi-Racial Unknown / Not Stated Other
How would you describe your gender identity? *

Female Male Nonbinary Prefer not to answer Other
Current Military Status *

Non-Veteran/Non-Military Veteran Service-Disabled Veteran National Guard/Reserve Active Duty Unknown/Not Stated
Are you from a low income household or community? *

Yes No Unsure
Primary Language *

English Spanish Other
Date of Birth *

Month Day Year
Date
Should be Empty:

Multicultural Catalyst Program Credit Review Interest Form

Demographic Information