Oasis Loan Application Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
SIN
How many people are in your household?
*
What's your gender?
*
Male
Female
Other
How did you hear about us?
*
Please Select
Online Search
African Impact Initiative Website
Recommendation (e.g. friend or family)
Advert on social media
Your school's website
Other
Please Specify
*
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Education Information
What degree do you plan to receive?
*
Bachelor's
Master's
MBA
PHD
Diploma
Certification
Other
What educational program are you pursuing?
*
Are you in the final year of your program?
*
Yes
No
What is your occupational goal?
*
When are you expecting to complete your educational program?
*
-
Month
-
Day
Year
Date
When do you need the loan by?
*
-
Month
-
Day
Year
Date
How much would you like to borrow?
*
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Employment Information
What is your current employment status?
*
Employed
Unemployed
Self-employed
What is your current employment type?
*
Full-time
Part-time
Contract
N/A
What is your current job title?
Skip if not applicable
Who is your current employer?
Skip if not applicable
What is your current monthly employment income?
Skip if not applicable
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Immigration Information
What is your immigration status?
*
Canadian Citizen
Permanent Resident
Study Permit
Open Work Permit
Protected Person (Convention Refugee)
Provincial Nominee
Other
What is your country of birth?
*
What was your country of citizenship at the time of your arrival in Canada?
*
Date of birth
*
-
Month
-
Day
Year
Date
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Income/Liability
How long have you had your current job?
Please Select
6 months
1 year
2 years
3 years
5 years+
How much is your paycheque after taxes?
Skip if not applicable
How often do you get paid?
Please Select
Weekly
Bi-weekly
Bi-monthly
Monthly
Per Job
Other
Do you receive any additional sources of income?
*
Please Select
Yes
No
What's your source(s) of additional income? (Recurring allowances from a guardian can be entered here)
How much debt do you have currently?
What is your monthly total debt payment?
What is your total monthly household expense? (including rent/mortgage payments)
How much is your monthly rent?
Do you own a car?
*
Please Select
Yes
No
*Please note that by submitting this form, you consent to the use of your personal information for loan purposes as indicated in our privacy policy on our website.
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