Application

Please fill out the information below to help CNote get to know your organization!

Provide information for us to contact you:

• First Name*
• Last Name*
• Email*
• Phone
• Your Current Position*

A few quick facts about your organization:

• Organization Name*
• EIN*
• Address*
• Address 2
• City*
• State*
  • Alabama
  • Alaska
  • American Samoa
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Guam
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Northern Mariana Islands
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • U.S. Virgin Islands
  • United States Minor Outlying Islands
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
• Zipcode*

Organization Information

• Inception Date*
• Is the organization a CDFI?*
  • Yes
  • No
• CDFI Certification Date
• Is the organization AERIS rated?*
  • Yes
  • No
• AERIS Rating Date
• AERIS Rating
• Target Market*
• The organization has been lending since (year)?*
• Size of the organization's current loan portfolio?*

Organization History

• Major Lines of Business (multiple selection)?*

  • Small Business
  • Microenterprise
  • Communities Facilities
  • Non-profits
  • Consumer
  • Commercial Real Estate
  • Housing
  • Healthy Food Initiatives
  • Other

• Impact Beneficiaries (multiple selection)*

  • Children and Youth
  • Homeless People
  • Immigrants and Refugees
  • LGBTQ
  • Low Income
  • People of Color
  • People with Disabilities
  • Rural
  • Veterans
  • Women
  • Indigenous People
  • Quality Jobs
  • Formerly Incarcerated Individuals

• Development Services (multiple selection)*

  • Business Technical Assistance
  • Credit Counseling
  • Financial Education
  • Homeownership Counseling and Technical Assistance
  • Real Estate Technical Assistance
  • Other

• State Coverage*

• Allocation to Rural (%)

• Define Loan Products, Loan Limits, and Loan Terms*

• Does the organization have a strategic plan?*

  • Yes
  • No

• Date of last strategic plan

• Please provide a brief description of the organization's history and future plans for growth*

• Has the organization ever defaulted on debt?*

  • Yes
  • No

• If yes, please explain

• How do CNote funds support the organization’s capitalization plan?*

• Loan Request Amount*

• What is the organization's preferred timeline to secure funding?*

• UN Goals (multiple selection)*

  • No Poverty
  • Zero Hunger
  • Good Health and Well Being
  • Quality Education
  • Gender Equality
  • Decent Work and Economic Growth
  • Industry, Innovation, and Infrastructure
  • Reduced Inequalities
  • Sustainable Cities and Communities

• Impact Themes (multiple selection)*

  • Financial Inclusion
  • Racial Equality
  • Poverty
  • Homelessness
  • Economic Development and Mobility
  • Gender Equality
  • Affordable Housing
  • Access to Education
  • Mental Health
  • Disability
  • Job Creation
  • Refugee Crisis and Immigration Issues
  • Natural Disaster Recovery
  • Resilient Communities
  • Financial Education
  • Workforce Development & Retraining
  • Community Revitalization
  • Sustainable Agriculture
  • Climate Change
  • Closing The Gap Between Rural And Urban
  • Social and Economic Justice
  • Clean Water and Sanitation
  • Affordable and Clean Energy
  • Responsible Consumption and Production
  • Access to Healthcare
  • Improving the Lives of Underprivileged Children/Families

Submit securely

Contact us

• (510) 431-2422 431-2422)
• support@mycnote.com