ABLE Application

A Better Loan Experience

Welcome to our application for the ABLE program!

To qualify for this loan product, you must meet certain requirements and provide various forms of information and documentation. If you have gathered the proper information, this application should take 15-20 minutes to complete. Before starting, please ensure you:

Have gathered financial information on your household income, expenses, debt, etc.
Have been employed for at least 12 months for an average of at least 30 hours/week (this will be verified with your employer)
OR
have another form of steady income for the past 12 months
Make less than 250% of the federal poverty level for your household size
Are at least 18 years old
Have a Social Security Card (the card cannot state “NOT VALID FOR EMPLOYMENT”)
Have a driver's license or valid, government-issued ID
Can provide two months of current pay stubs, a profit & loss statement if you own a business, or other proof of income
Can provide proof of address via a utility statement, cell phone bill, or lease agreement showing your current address
Have $5 to open a bank account at Pyramid Federal Credit Union (they will provide the loan)
Can provide contact information for two references who do NOT live in your household
Are willing to set up monthly payments via payroll deduction or automatic bank transfers
Understand that ABLE is a needs based loan and all loan proceeds will be paid directly to vendors or creditors. You willl NOT receive cash.

Please note that additional information may be requested and that income limits apply.

Before starting, please attest that...(Required)

I have read the above requirements and have gathered information to complete my application.

Hidden

What is the nature of your relationship with the non-profit above?

Check all that apply.

I am an employee.

I am a client.

Neither.

Hidden

Please note: This program is generally only being offered to a limited number of clients and other individuals.

I have spoken with someone associated with this program and have permission to apply.

Hidden

If an individual at this non-profit referred you to this program, please provide their name.

If you have questions about this application at any point you may contact:
Anna Burke at Pio Decimo at 520-433-1669 or annab@ccs-soaz.org.

Spouse Info

Spouse Name(Required)

First Middle Last

Spouse's Date of Birth(Required)

Spouse's Email

Spouse's Phone(Required)

Is this a cell phone number?(Required)

Yes

May we contact your spouse via text message regarding your application?(Required)

Yes

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

References

Please provide reference information for two individuals who do NOT live with you. These individuals are only contacted if we are having trouble contacting you, and are not part of the approval process.

Reference #1

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Reference #2

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Phone(Required)

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Employer Information

Employer (#1) Information

Please list your primary/main job first.

Employer Name(Required)

Your Job Title(Required)

How many hours a week, on average, do you work at this job?(Required)

How much do you earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Employer (#2) Information

Employer Name(Required)

Your Job Title(Required)

How many hours a week, on average, do you work at this job?(Required)

How much do you earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Employer (#3) Information

Employer Name(Required)

Your Job Title(Required)

How many hours a week, on average, do you work at this job?(Required)

How much do you earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Employer (#4) Information

Employer Name(Required)

Your Job Title(Required)

How many hours a week, on average, do you work at this job?(Required)

How much do you earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Spouse's Employer Information

Please provide information on your spouse's employment.

Spouse's Employer (#1) Information

Please provide information on your spouse's employment. List their primary/main job first.

Employer Name(Required)

Spouse's Job Title(Required)

How many hours a week, on average, does your spouse work at this job?(Required)

How much does your spouse earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Spouse's Employer (#2) Information

Please provide information on your spouse's employment.

Employer Name(Required)

Spouse's Job Title(Required)

How many hours a week, on average, does your spouse work at this job?(Required)

How much does your spouse earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Spouse's Employer (#3) Information

Please provide information on your spouse's employment.

Employer Name(Required)

Spouse's Job Title(Required)

How many hours a week, on average, does your spouse work at this job?(Required)

How much does your spouse earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Spouse's Employer (#4) Information

Please provide information on your spouse's employment.

Employer Name(Required)

Spouse's Job Title(Required)

How many hours a week, on average, does your spouse work at this job?(Required)

How much does your spouse earn?(Required)

Please list the before taxes amount.

And how often?(Required)

Hourly

Weekly

Biweekly (every two weeks)

Semi-monthly (twice a month)

Monthly

Annually

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Household Expenses

Please estimate the expenses for you and your household on a monthly basis.

How much does your household pay per month for food (groceries and eating out)?(Required)

How much does your household pay per month in mortgage/rent?(Required)

How much does your household pay per month for clothes, household expenses, hygiene, etc.?(Required)

How much does your household pay per month for cable, phone, and internet?(Required)

How much does your household pay per month in car payments?(Required)

All together, how much does your household pay per month in debt/loans (e.g. credit card debt, personal/payday loans, auto title loans, student loans, etc.)?(Required)

Please list the minimum amount you need to pay each month.

How much does your household pay per month in utilities (gas, electric, water)?(Required)

How much does your household pay per month in childcare?(Required)

How much does your household pay per month in child support?(Required)

How much does your household pay per month in insurance (car, house, etc.)?(Required)

How much does your household pay per month in health insurance?(Required)

How much does your household pay per month in medical expenses, prescription medicines, etc.?(Required)

How much does your household pay per month for all other expenses not listed above?(Required)

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

Supporting Documentation

A number of supporting documents are required to participate in this program. Please note that your application will not be reviewed until you have submitted the proper documents.

Proof of income
Proof of address (a utility bill, cell phone bill, or rent/lease agreement)
Social Security card*
Employment Verification (showing date of hire)
Driver's License or valid, government ID

* Your social security card cannot state "NOT VALID FOR WORK."

How would you like to share this information? Please check all that apply.(Required)

Secure file upload via this application form

Fax

Drop off copies in person

Which files would you like to upload? Please check all that apply.(Required)

Proof of income (e.g. two months of pay stubs, social security check stubs, etc.)

Proof of address (utility bill, cell phone bill, rent/lease agreement)

Social Security card(s)*

Employment Verification (showing hire date)

Driver's license or valid, government ID

* Your social security card cannot state "NOT VALID FOR WORK."

Please upload two months' worth of copies showing proof of income for your primary job(s) or source(s) of income.

If your primary job is less than 30 hours, you may upload additional pay stubs from other jobs.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 25.

Please upload two months' worth of copies showing proof of income for your spouse's primary job(s) or source(s) of income.

If your spouse's primary job is less than 30 hours, you may upload additional pay stubs from other jobs.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 25.

Please upload a utility bill, cell phone bill, or rent/lease agreement showing proof of address

Your name, or that of your spouse, must be on the statement. Your file will be safely stored on our secure server.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 4.

Please upload a copy of your social security card.

Your file will be safely stored on our secure server.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 2.

Please upload a copy of your spouse's social security card.

Your file will be safely stored on our secure server.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 2.

Please upload a copy of your employment verification.

Your employment verification must show your hire date. If your primary job is less than 30 hours/wk, you may upload more than one verification.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 4.

Please upload a copy of your driver's license or valid, government-issued ID.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 4.

Please upload a copy of your spouse's driver's license or valid, government-issued ID.

Drop files here or

Accepted file types: png, gif, jpg, jpeg, jfif, doc, xls, docx, xlsx, pdf, Max. file size: 4 MB, Max. files: 4.

If you need more time to gather your files, you can click "Save and Continue" below. Please note, this will generate a link that acts as a password. DO NOT SHARE this link with anyone.

If you have questions about this application at any point you may contact Nick at 520-529-1766 x209. You can also click Save and Continue and follow the instructions to pick up at a later time.

If you have questions about this application at any point you may contact Anne Marie at 520-416-4763. You can also click Save and Continue and follow the instructions to pick up at a later time.

By signing, you:

Agree to complete the free, 16-hour Credit Builder Course offered by Catholic Community Services, Pio Decimo Center,
Agree to allow the Program to share any and all disclosed information with Pyramid Federal Credit Union (PFCU) in order to process this loan request,
Understand that Pyramid Federal Credit Union will inform the Program of your payment performance,
Understand that failure to comply with ABLE Program requirements will be grounds for default, which may result in immediate repayment of the loan balance.

Please note that applications will not be reviewed until all documentation has been provided.

As part of this program, we have a Savings Incentive Match...(Required)

For borrowers who pay off their loan without late payments AND save $10/month, we will match your $120 with another $120 at the end of the year.

I would like to put aside $10/month extra so that I can receive an additional $120 at the end of the year.

I do not want to put aside $10/month. I will make the bare minimum payment.

Before submitting this application, please attest that...(Required)

All of the information I have provided is true and correct to the best of my knowledge.

Signature

The digital signature pad is not working or I prefer to provide a signature in person.

Housing for All!

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Schools that THRIVE!

Housing for All!

Businesses that Prosper!

Schools that THRIVE!

A Better Loan Experience