LOAN REFERRAL FORM
Date: ____/____/____
This form can be emailed to Capital Good Fund at [email protected] or faxed to
866.254.0219. Please help preserve the environment by printing this form only when necessary.
A CGF representative will contact you or your client within 48 hours to discuss the referral.
Client Name: ___________________________________________________________
(First)
(Last)
(Middle Initial)
Client Contact Information: ________________________________________________
(Phone)
______________________________________________________________________
(Email)
I authorize my information to be sent to Capital Good Fund.
Client Signature: _____________________________________ Date: ____/____/____
INSTITUTION NAME: ______________________________________________________
Case Worker Name: _____________________________________________________
Case Worker Contact Information: __________________________________________
(Phone)
______________________________________________________________________
(Email)
Case Worker Signature: __________________________________________________
1. Is the client interested in Financial Coaching?
Yes
No
Maybe
Already doing coaching with _______________
(Name of organization)
2. What type of loan is the client interested in?
DoubleGreen®
Small Business
Citizenship
Digital Equity
Other Consumer: _________________________________
(Please describe purpose)
3. What size loan is the client interested in? $ __________________________________
4. Please indicate the client’s credit score, if known: _____________________________
To speak to a Capital Good Fund loan officer and learn more about the application process,
please call 866.584.3651. For more information about Capital Good Fund, please visit our
website at www.capitalgoodfund.org
127 Dorrance St, Suite 513 | Providence, RI 02903
866-584-3651 | [email protected]
FREQUENTLY ASKED QUESTIONS
Q: What information will my client need to apply for a loan with Capital Good
Fund?
A: All applicants need the following information:
- Social Security Number
- Date of Birth
- Current Residential Address
- Number of Months at Current Residential Address
- Monthly Household Net Income
- Number of Months with Current Employer
- Number of Overdrafts from Bank Account in the Past Two Months
- Current Savings Account Balance
- Prior Loan History with Capital Good Fund
Q: What happens if my client’s loan application is denied?
A: If a loan application is denied based on conventional measures of credit, income and
existing debt, applicants have a second chance to be approved. By participating in our
Financial Coaching program we get to know the character, motivation and followthrough of our clients as individuals. We then review the initial loan application with that
insight.
Q: What is Financial Coaching?
A: Our individual Financial Coaching is a yearlong relationship with a CGF Financial
Coach. During the first three one-on-one sessions, your client will create an action
plan for every aspect of his or her personal finances, including credit, debt, banking,
budgeting, and saving. We’ll focus specifically on the topics that are most relevant
to your client, whether he or she wants to get out of debt, save for college, or simply
learn how to manage money more effectively.
After the first three financial coaching sessions clients are encouraged to reapply for a
loan. Also, we will have four additional meetings throughout the year: at the 6-month
and 12-month marks, and two more at times of the client’s choosing, where we can
work on other relevant issues, or rework existing action plans as new information is
available.
Q: How much does Financial Coaching cost?
A: Financial Coaching costs $150, to be paid through 12 monthly payments of $12.50 at
a 0% interest loan. We report credit on each month’s payment, which is the only way to
rebuild a sub-optimal credit report around. When clients pay for the service we are
accountable to them, not third-party private funders. In addition, we have found that they
achieve more, have better attendance and generally make more of the program than
when it is provided at no cost. Graduates of our Financial Coaching program go on to
manage larger loans from Capital Good Fund with more confidence and stronger
results.
127 Dorrance St, Suite 513 | Providence, RI 02903
866-584-3651 | [email protected]