Loan Inquiry Form

Take the first step in applying for a Working Solutions loan! 

Fill out the form below, and we will be in touch soon. 

To review our loan terms and eligibility requirements, click here.
If you have questions about this form, email

Please share the name of the organization and/or person who referred you. If unknown, type N/A.

Please enter numbers only (no symbols). Minimum Amount: $5,000, Maximum Amount: $100,000.

Please enter your current or proposed business zip code.

If the exact date is not known, please provide an estimate.

Working Solutions CDFI_Counties Served_2022

Please enter numbers only (no symbols).
Examples of Other Income: Alimony, Paystub, Annuity Income, Disability Income
To the best of your knowledge, will any of the items below be in your credit report?
  • Bankruptcy (either active or discharged less than 2 years ago)
  • Unpaid public records (tax liens or civil judgments)
  • Any credit accounts past due