Program Placement Application

Welcome to the Credit Restoration Mentorship Program Application

We fixed the past and build your future.

Credit Restoration that goes beyond the basic.

Please do not fill out this form unless you are serious about improving your credit and getting the help you need. We only work with committed individuals ready to take action!

Thank you for your interest in joining our exclusive Credit Restoration Program! This program is designed to guide you through the process of improving your credit by removing negative items and building a strong credit profile.

All programs are application-only. Completion of this application does not Guarantee Approval.

Basic Information

Full Name *

Email Address *

Phone Number *

State of Residence *

Goals & Expectations

What credit goals are you looking to achieve? (Select all that apply) *

Other (please provide details)

Program Investment

Which statement best describes you? *

I’m ready to follow a proven strategy and take action

I’m mainly looking for a quick fix

Our programs are a strategic investment ranging from approximately $1,500. Are you prepared to invest at this level if approved? *

Yes

If approved for our program, when would you be prepared to make your investment? *

Immediately (I’m ready to move forward)

On a specific date

Payment Acknowledgment

The total investment for this program is $1,500. Please select the payment option that best fits your needs *

Pay in Full: $1,500 due at enrollment

Split Payment: $750 due at enrollment, with the remaining $750 due within 30 days of program start

Enrollment is not confirmed until the initial payment is received. These are the only payment options currently offered. Third-party payment services such as Afterpay or Klarna may be used if availabl

Final Qualifier

What questions or concerns do you have about the Credit Restoration Mentorship Program?

How did you hear about our program? *

Why do you believe you are a good fit for an application-only program? *