APPLICANT INFORMATION
Name
*
First Name
Middle Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Gender
*
Please Select
Male
Female
Other
Marital Status
*
Please Select
Single
Married
Common-Law
Separated
Divorced
Citizenship
*
Please Select
Citizen
Permanent Resident
International Worker
Number of dependents
*
Type a question
Education
*
Address
*
Address
Apt. #
City
Province
Postal Code
How long have you been at the current address?
Do you own, rent or live with relatives?
Please Select
Own
Rent
Live with relatives
Previous Address (if less than 5 years at current)
Address
Apt. #
City
Province
Postal Code
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IDENTITY VERIFICATION
Click the applicable one & enter the number below
*
Driver's License
I.D. Number
Driver’s License or I.D. Number
*
Province of Issuance
*
Social Insurance Number
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a vehicle?
*
Please Select
Yes
No
Do you fully own, lease, or finance the vehicle?
Please Select
Own
Lease
Finance
Other monthly expenses
*
INCOME/EMPLOYMENT INFORMATION
Are you Employed Full-time, Part-time, Self-Employed, Employment Insurance/Disability, Retirement/Pension, Student, or Other
*
Please Select
Full-time
Part-time
Self-Employed
Employment Insurance/Disability
Retirement/Pension
Student
Other
Current Employer
Employer Address
Address
Apt. #
City
Province
Postal Code
Net monthly income (After Tax)
Next Pay Date
-
Month
-
Day
Year
Date
How often are you paid?
Job Title
Work Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Hire Date
-
Month
-
Day
Year
Date
CO-APPLICANT INFORMATION (IF APPLICABLE)
Name
*
First Name
Middle Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Social Insurance Number
*
Click the applicable one & enter the number below
*
Driver's License
I.D. Number
Driver’s License or I.D. Number
*
Province of Inssuance
*
Relationship to applicant
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Address
Apt. #
City
Province
Postal Code
Employer
Employer Address
Address
Apt. #
City
Province
Postal Code
Job Title
Net monthly income (After Tax)
Hire Date
-
Month
-
Day
Year
Date
Next Pay Date
-
Month
-
Day
Year
Date
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LOAN DETAILS
Loan amount requested
Loan term requested (1-60 Months)
Purpose
Training School (if not known, please enter “TBD”)
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CREDIT APPLICATION
I/we accept this as written notice of CFC GROUP INC. / CURRENT FINANCIAL CORP. (“CFC”) its affiliates, assignees, service providers and professional advisors (collectively CFC) receiving, disclosing, exchanging and using any Collected Information and any other personal information (collectively the “Personal Information”) about me/us for the purposes set out below. CFC, its affiliates, assignees and service providers may use any Information relating to me/us: a) to establish, maintain and administer my/our account; b) to determine my/our eligibility for products, goods and services offered by CFC including monitoring my/our purchase history as well as evaluating my/our credit standing; c) to determine the suitability of benefits, services or enhancements; and/or which other product or service offers may be of interest to me/us; d) to promote and market additional products, goods and services offered by CFC or its affiliates including by means of direct marketing; e) to comply with legal and regulatory requirements; & f) for any other purpose not prohibited by law. I/we hereby also authorize any person who is contacted in this regard to provide such information. I /we acknowledge that my/our consent to “Use of Personal Information” includes: a) CFC providing the service provider who accepts the Credit for which I/we am applying (the “Retailer”) with CFC’s decision with respect to this application and if my/our application is accepted, my/our Account number and any other information which the Retailer may reasonably require; b) The Retailer providing CFC with information related to any loyalty or reward program offered by that retailer where such loyalty or reward programs is administered by CFC and CFC’s receipt, exchange and use of such information. All information provided by me/us in connection with this application is true, accurate and complete in all respects. I/we consent to the creation of a Personal Information file containing credit and other personal information. Only those employees of CFC whose job functions involve assessment of creditworthiness, credit applications, monitoring, processing of payments and matters relating to the purpose of the file, will have access to my/our file. I/we understand I/we can tell you to stop using Personal Information about me/us in order to promote and market additional products, goods and services offered by CFC. I agree that my/our Social Insurance Number may be used as an aid to identify me/us with credit bureaus and others for credit history file matching and other administrative purposes. I/we also consent to the retention of Personal Information about me/us for as long as is needed for the purposes described above, even after I/we cease to be a customer. In order to ensure the accuracy, completeness and integrity of the credit reporting system, I/we specifically consent to the continued disclosure of my/our Personal Information to credit bureaus even after the loan or credit facility has been retired. I authorize CFC to verify the information provided on this form as to my credit and employmenthistory, or any other information provided and I have read and understood the Terms and Conditionsof this application.
*
Applicant Signature
Date
Co-Applicant Signature (If Applicable)
Date
Submit
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