Elevate Credit Builders Enrollment Application
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  • English (US)
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  • PROVERBS 4:7: Wisdom is the principle thing; therefore get wisdom: and with all thy getting get understanding.

  • 👉 ENROLLMENT APPLICATION

  • This application is for individuals enrolling in the Elevate Credit Builders program. The information provided helps us understand your financial profile so we can assist you in strengthening your credit and achieving your financial goals.

  • PROGRAM SELECTION

  • Core Elevation Plan - 12 Month Program
    Standard Enrollment Fee: $500
    Program Cost: $100 per month
    Advanced Track - Up to 6 Month Program (IParticipation subject to approval)

  • ENROLLMENT

  • Enrollment Fee: $500
    Payment Method Options:
    Google Pay
    Apple Pay
    Cash App
    Credit Card
    Please include your full name in the payment note.

  • PAYMENT AUTHORIZATION & RETURNED PAYMENT POLICY


  • Client authorizes Elevate Credit Builder to charge the payment method on file for all agreed-upon services and fees. In the event of a returned payment, declined transaction, or insufficient funds (NSF), any associated fees incurred will be the responsibility of the client and may be charged to the payment method on file. Continued failed payment attempts may result in a pause or termination of services until the account is brought current.

  • BANKING

  • LINE OF CREDIT

  • Clients must obtain and maintain an active line of credit throughout the program. Depending on your credit profile, it may be necessary to establish a secured line of credit using your own funds, which will be held by the financial institution granting the loan.

  • APPLICANT INFORMATION

  • Format: (000) 000-0000.
  • Date of Birth:
     - -

  • PRIMARY GOAL

  • What is your primary goal?

  • CREDIT PROFILE

  • Open Collections:

  • PUBLIC RECORDS / JUDGMENTS

  • Public Records / Judgments Options

  • CO-SIGNED ACCOUNTS

  • Have you co-signed for anyone on a loan, lease, credit card, or other obligation?

  • EMPLOYMENT

  • SECOND JOB

  • SELF EMPLOYED

  • ADDITIONAL INCOME SOURCES

  • FINANCIAL OBLIGATIONS

  • VETERAN STATUS

  • HOUSING

  • PARTNER ACKNOWLEDGEMENT

  • Elevate Credit Builders works with trusted lenders and real estate professionals.
    Participants may choose to work with these partners but are under no obligation to do so.

  • 14 DAY FINANCIAL ASSESSMENT

  • Participants will complete a 14 day financial assessment after enrollment.

  • CERTIFICATION

  • I certify the information provided is accurate to the best of my knowledge.
    Elevate Credit Builders does not collect Social Security numbers or sensitive financial account numbers
    through this application.

  • SIGNATURE

  • Date:
     - -

  • JEREMIAH 29:11  For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future.

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