Fill in the Onboarding Application Form

First Name *

Last Name *

Email Address *

Phone *

Date of birth *

Social Security Number *

Street Address

City

State

Country

Country

Postal code

Housing Status *

Rent

Own

With Family

Other

Time at Current Address *

Less than 6 months

6–12 months

1–2 years / 2+ years

Upload Government-Issued Photo ID Accepted: Driver’s License, State ID, or Passports *

Estimated Monthly Income *

Are you currently enrolled in other credit builder programs? *

Yes

No

Upload a Utility Bill or Bank Statement (Optional but recommended)

Acknowledgements *

I understand my deposit is non-refundable

I understand this is a 12-month installment agreement

I understand monthly payments are required to maintain reporting

I agree to receive electronic documents and disclosures

I understand I must renew annually to maintain reporting status

I have signed the Installment Agreement.

Digital Signature *

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