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Reference
PRIYA Finance & Community Development
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* Indicates required question
Email
*
Your email
Your name?
*
Your answer
Your Email Address?
*
Your answer
Name of Applicant?
*
The name of the person who asked you to submit this reference letter
Your answer
I have known the applicant for:
*
Less than 1 year
1 to 2 years
3 to 5 years
6 to 10 years
11 to 15 years
16 to 20 years
21 or more years
State your relationship with applicant
*
State relationship – social, business, working together in some other capacity, club, activity, project, etc. How do you know the applicant?
Your answer
Do you believe the applicant is reliable and deserving of a loan from our community?
Yes
No
Clear selection
Please rate the applicant.
*
Don't Know
Never
Somewhat Never
Somewhat Always
Always
Trustworthy
Financially Stable
Financially Responsible
Don't Know
Never
Somewhat Never
Somewhat Always
Always
Trustworthy
Financially Stable
Financially Responsible
Are you willing to cover $100 of the loan if the applicant were to default?
*
This is to help foster community involvement. If you trust the applicant this shouldn't be a problem.
Yes
No
Is there anything else you would like to say about the applicant?
Your answer
Are you currently a Community Investor with PRIYA?
*
Not yet, I need more Info
Less than a year
1 to 2 years
More than 2 years
Yes, I've been a Community Investor for
Not yet, I need more Info
Less than a year
1 to 2 years
More than 2 years
Yes, I've been a Community Investor for
A copy of your responses will be emailed to the address you provided.
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