Financial Loan Program Application (PDF)
Download the FreedomTech Financial Loan Program Application and follow the steps below for completing the application (a printer will be required):
- Click the Download the Application graphic above or the button below.
The form may be completed either two ways:
- The form contains fillable fields, so you may fill the form out from your PDF/Acrobat reader.
- Print the application and then fill it out by hand (please print legibly).
- Complete all required fields and print out all pages (if you haven't done so already).
- Be sure that all applicants sign and date the Authorization page at the end with penned signature(s).
Mail back the completed application in an envelope with postage to this mailing address:
California Foundation for Independent Living Centers
Attn: FreedomTech Financial Loan Program
1000 G Street, #100
Sacramento, CA 95814 (Please do not fax or email your application to us.)
- All done! A FreedomTech staff member will contact you to determine your status for a FreedomTech Financial Loan.