ATLANTIC CITY CREDIT REPAIR PROGRAM
This program is currently open to Atlantic City residents.
Registration Form
The first 40 applicants will be accepted in the program. The remaining applicants will be notified and placed on the waitlist until further notice.You are required to attend and complete all (8) eight sessions to obtain certification.
Full Name
*
Phone Number
*
Address
*
Email Address
*
example@example.com
Date of Birth
*
/
Month
/
Day
Year
Date
Household Size
Total Income
Current Credit Scores (It's OK if you do not know!)
Experian
Transunion
Equifax
1. Which credit monitoring site (Experian, Identity IQ Credit Karma, etc.) are you currently using?
2. On a scale from 1 10 (10 being the highest) how would you rate your credit knowledge?
3. What would you like to be able to accomplish after completing the program?
Submit
Should be Empty: