Application for Contractors | Cuyahoga County Home Repair Loan Program 

Page 1

Thank you for your interest in working with CHN Housing Capital. We look forward to reviewing your application and engaging with you on the Cuyahoga County Home Repair Loan Program. Please take a few minutes to fill out the following application so we can get started working together!


Please note before you begin that you cannot submit a completed application without the following documentation:

  • Insurance certificate
  • Workers Comp certificate

Please have these documents ready when you start your application!

Page 2 | Business Info

Company Information

Owner/Primary Contact Information

Page 3 | General Criteria

Page 4 | Past Jobs & Certification

Please list the last three jobs completed in the past 12 months. Click "add another past job" below to add additional job history.

Past Jobs


Page 5 | Sign and Submit

Typing your name in the box below will serve as your electronic signature.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application may result in my release.