Ohio Refugee Microenterprise Program Assessment

Please tell us about yourself

First Name

Last Name

Email Address

Phone Number

Country of Origin

Native Language

Would you like to have an interpreter?

YesNo

Date of Entry into the U.S.

Residency Status - Other

What date did you receive this status?

Please Provide Your Address

Street Address

City

State

Postal / Zip Code

Business Questions

Are you currently in business?

YesNo

Business name?

What type of business?

When did your business start?

Do you have a business idea?

YesNo

Do you have a business plan?

YesNo

What is your most recent credit score, if known?

Please click the box next to each statement if you agree.

Personal Authorization

I/we attest that all the information on this application is true. I/we also authorize ECDI to perform credit checks, which may include obtaining consumer credit reports or commercial credit reports, to exchange information about credit experience with other creditors from time to time, as authorized by law.

I/we understand that this information will be shared with me for the purposes of monitoring my credit score.

I /we understand that educational credit pulls “soft pulls” will have no effect on my credit score, whereas “hard pull” inquiries to my credit may result in a temporary dip in numeric score. I/we understand that ECDI will retain this program enrollment form.

Document Upload

I-94 Form

Photo ID

Social Security Card

Work Authorization Card

To protect your data, ECDI uses multiple safeguards including multi-factor authentication, server backups, best in class endpoint detection and response software to ensure your information is safe.