SkillUp Training Loan Application

Personal Information

Legal First Name

Legal Last Name

Birthdate

Social Security Number

Please enter the number without hyphens

Country of Birth

Gender

Address

Street Address

Apartment/Unit/Floor

Enter apartment or floor # if applicable.

City

State

Zip Code

How to contact you?

Mobile Phone

Please enter a valid U.S. phone number including the 1 country code (e.g., 1 123-456-7890)

Home Phone

If you do not have a home phone, leave this field blank.

Personal Email Address

If you have different email addresses for work and personal use, please provide your personal email address only.

Household Information

Marital Status

Number of Dependents

Not including yourself or your spouse

Job Status

Employer Information

Occupation/Job Title

Start Date

If unsure of the month or day, enter January 1st

Employer/Business Name

Please do not abbreviate the company or organization name

Employer Phone Number

Employer Address

Income Information

Annual Income from Employment

$

Enter your annual pre-tax salary from your job listed above.

Annual Income from Other Sources

$

Enter your income from any sources other than the job you listed above. Please do NOT include spouse income. If income from other sources is $0, enter 0.

Income Information

Annual Income

$

Enter your annual income from unemployment, social security, pension, etc. If your current income is $0, please enter 0.

Loan Program (Hidden)

Loan Product (Hidden)

Partner Organization (Hidden)

Spouse/Partner's Information

If you are married, HFLS must receive the information below for your spouse. Your spouse will be listed as a borrower on the Promissory Note along with you, and will be required to sign the Promissory Note.

Legal First Name

Legal Last Name

Date of Birth

Social Security Number

Enter numbers only, no dashes (-). If you do not have a Social Security Number, enter all zeros.

Country of Birth

Gender

How to contact your spouse/partner?

Mobile Phone

Personal Email Address

If your spouse/partner has different email addresses for work and personal use, please provide their personal email address only. You must provide different email addresses for yourself and your spouse/partner.

Spouse/Partner's Employment Status

Employer Information

Occupation/Job Title

Start Date

If unsure of the month or day, enter January 1st

Employer/Business Name

Employer Phone Number

Employer Address

Spouse/Partner's Income Information

Spouse/partner's Annual Income from Employment

$

Enter your annual pre-tax salary from your job listed above.

Spouse/partner's Annual Income from Other Sources

$

Enter your income from any sources other than the job you listed above. Please do NOT include spouse income. If income from other sources is $0, enter 0.

Spouse/Partner's Income Information

Spouse/partner's Annual Income

$

Enter your annual income from unemployment, social security, pension, etc. If your current income is $0, please enter 0.

Loan Purpose Information

Please briefly describe your need for an HFLS interest-free loan and the purpose for which you intend to use the loan funds.

Loan Request Information

Loan Request Amount

$

Minimum of 2000, maximum of 5000. Enter numbers only; do not use dollar signs, commas, or periods.

Name of School

Please enter the full name (without abbreviation) of the school or institution that runs the program you are enrolling in.

Name of Program or Course

Enter the name of the program or course you are enrolling in.

Link to Program Website:

Have you already enrolled in the program?

Program Duration/Length: Please enter the duration of your program in weeks or months.

Weeks or Months

Enter the number of months or weeks above.

Start Date

If you do not know the actual start date, please enter the expected start date or the 1st of the month that you expect to start the program.

Expected Completion Date

If you do not know the actual completion date, please enter your expected completion date or the 1st of the month that you expect to complete the program.

Have you taken or do you expect to take any private education loans?

Do you plan to work while you are in the program?

Will you work full-time or part-time?

Will you receive any certification after completing this program?

What is the name of the certification you’ll receive?

Referral Information

How did you hear about HFLS?

Please enter the name of the publication or media outlet:

Please enter the name of the agency or organization:

Please enter the name of the social media platform (Facebook, Twitter, Instagram, LinkedIn):

Please enter the name of the attorney or law firm:

Please enter the name of the school or financial aid office:

Please enter the term or information you searched for, if you can remember what it was:

Please provide additional details:

Guarantor Request

HFLS SkillUp Training Loans require one guarantor. The guarantor and their spouse are liable for the loan in the event a borrower is unable to pay for any reason.

A guarantor must:

Be a US citizen or permanent resident currently living in New York, New Jersey, or Connecticut.
Be currently employed with annual pre-tax household income of at least $30,000.
Have a checking account and good credit, as evidenced by an HFLS review of their credit report.

A guarantor may NOT:

Be your or your spouse, partner, or dependent.
Currently have or serve as guarantor on an outstanding HFLS loan.
Seem financially unable to repay the loan.

Please enter your proposed guarantor's name and email address below. After you submit your application, your proposed guarantor will receive an email with a link to an online Guarantor Form. If you have not already done so, please alert your proposed guarantor(s) to look out for this email, as it may go to their spam folder. HFLS cannot process your application until your proposed guarantor has completed the Guarantor Form.

Guarantor #1

First Name	Last Name
Email Address	Phone Number

Upload Your Government-Issued Photo ID

Please upload a clear image of your spouse/partner's photo ID. HFLS must receive photo IDs for you and your spouse/partner before we can disburse your loan.

Upload Your Valid Government-issued photo ID

Upload Spouse's Valid Government-issued photo ID

Upload Your Checking Account Information

Please upload ALL pages of your most recent checking account statement. The statement should clearly show your name, address, bank name, and checking account number.

HFLS will use this information to confirm your ability to repay the loan, electronically disburse your loan funds directly into your checking account upon loan approval, and to collect monthly repayments from your account. Please note that HFLS may request additional checking account statements during the loan process in order to confirm your ability to repay the loan.

Checking Account Statement Upload

Routing Number

Please ensure your routing number is correct; if it is not, HFLS will be unable to disburse your loan into your checking account.

REQUIRED: ID-Pal Verification and Plaid Authorization

After you submit your application, you will receive an email from HFLS that includes links to:

Securely verify your identity and government-issued photo ID using a unique ID-Pal verification link. (Accepted IDs: US passport or passport card, green card, other US national ID, US driver license or non-driver ID.) This is necessary to prevent identity theft and fraud. Please click here for more information about ID-Pal and why HFLS uses it.
Authorize HFLS to review your recent bank account activity through a unique Plaid authorization link. This is necessary to prevent fraud and ensure applicants are capable of repaying an HFLS loan. Please click here for more information about Plaid and why HFLS uses it.

Please check your spam or junk folder if you do not see this email in your regular email inbox.

ID-Pal verifications are required for all applicants and their guarantors; Plaid authorization is required for all applicants.

I understand that HFLS cannot review my loan application until my ID-Pal verifications and Plaid authorization are complete AND my guarantor ID-Pal verifications are complete.

Credit Report Authorization

HFLS may review applicants' credit reports in order to confirm their ability to repay a loan, or for some loan programs, to confirm their eligibility for a loan. For loans that require guarantors, HFLS always reviews guarantors' credit reports to determine whether they are able to guarantee a loan.

By checking the box below, you authorize HFLS to obtain your credit report if necessary. If you ask, we will tell you if a credit report has been obtained and the name and address of the agency furnishing the report. You also authorize anyone named in this application or any credit report we obtain regarding you to verify any information provided in this application or on the credit report.

Yes, I authorize Hebrew Free Loan Society to access my credit report

Signature

By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

I certify this form has been completed truthfully to the best of my ability and agree that typing my name below serves as a legal signature. By signing and submitting this form, I acknowledge that I understand it is a crime to knowingly make any false statements concerning any of the facts contained herein.

Signature

Type your name

Date