JIFL Loan Application (Financial Coaching Application)

JEWISH INTEREST FREE LOAN OF COLORADO APPLICATION FOR FINANCIAL COACHING
Thank you for your interest in the JIFL Financial Coaching Program. We look forward to helping you better meet your financial goals. Please complete the application below and submit it. Someone will be in touch with you shortly after.
General Information
Name

First NameLast Name
Full Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current GROSS Income
Source of Income
Current Expenses

Please complete budget as thoroughly as possible.

Monthly Expenses

Rows	Amount	Details / Explanation
Mortgage or Rent
HOA Dues
Utilties
Food Expense
Taxes
Car Payment
Car Insurance
Gas Expense
Home/Rental Insurance
Health Insurance
Loan Payment
Cable Expense
Cell Phone Expense
Entertainment
Clothing Expense
Prescriptions
Credit Card Payment 1
Credit Card Payment 2
Credit Card Payment 3
Credit Card Payment 4
Other expenses (or additional credit cards)
Other expenses (or additional credit cards)
Total:

What are your goals for meeting with a financial coach?
I give JIFL permission to share my original application with my financial coach. Additionally, I understand that I will sign a Hold Harmless/Release Agreement sent to me shortly after I submit this application.

Name (signature) and Date
Signature
Should be Empty:

JEWISH INTEREST FREE LOAN OF COLORADO APPLICATION FOR FINANCIAL COACHING