By clicking the APPLY button, you are providing written consent under the Fair Credit Reporting Act for Treatment Lenders and our lenders and partners with whom you are matched to obtain consumer reporting information from your credit profile or other information from one or more credit bureaus. You understand and agree that you are submitting an application for credit, and are consenting to the use of your consumer report information by Treatment Lenders and our lenders and partners to conduct anti-fraud security checks and evaluate your application for credit. You understand that your application may be matched with multiple lenders, each of whom may obtain consumer report information from your credit profile.

Due to lender policies the person who is receiving the services is required to be listed as the main applicant. If you believe the person who is receiving the services has non-qualifying credit, an option to add a co-applicant is provided at the end of this application. Funding may be canceled or declined if the person receiving the services is not on the application ­(if the person receiving the services is a minor, please list the minor’s legal guardian).