Application Form

This is the application form for RapidLoan.ca

  • Financial Information

  • The amount you would like to borrow.
    Please enter a value between 0 and 10000.
  • Your monthly income before taxes.
    Please enter a value between 0 and 10000.
  • Your monthly income after taxes.
    Please enter a value between 0 and 10000.
  • Name of your employer or source of income

  • Additional Information

  • Are you currently in the process of resolving bankruptcy procedings?
  • Have you ever had an agreement with a legal creditor to pay back less than the full amount owed?

  • Personal Reference


  • Authorization

    I certify the information contained in this application is true to the best of my knowledge. I also allow RapidLoan.ca to verify this information by running a credit check.


  • Proof of Income (optional)

    Note: Proof of income is optional for the initial application but may required for the approval of the loan.


  • Referral

    If somebody referred you to RapidLoan.ca, enter their e-mail here