International Affiliate Application - NFCC - National Foundation for Credit Counseling

NFCC International Affiliate Application

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Thank you for your interest in taking the first step toward becoming an International Affiliate of NFCC!

Before starting this initial application, please complete the Application Qualification Requirements and check each box when completed:

Please review the following application qualification requirements:

Operate as a charitable or nonprofit organization
Must be accredited and operating in compliance with federal and local laws and regulations
Maintain accreditation through Social Currents (formerly Council on Accreditation or COA), ISO 9001 (Bureau Veritas), or a recognized and approved industry association (ie. Credit Counselling Canada)
Agree to comply with the NFCC Mission Statement & Code of Ethics and International Affiliate Quality Standards
Agree to the NFCC Bylaws

Download, complete and return these items:

Application fee processing form ($1,500)

Save completed forms and upload them when prompted at the start of the application

The non-refundable International Affiliate application fee is $1,500. This covers all of the work involved with the application review and onboarding. The entire process may take six to eight weeks. Payment is by ACH or check only.

Please begin the application:

Today's date(Required)

MM slash DD slash YYYY

Applicant must review and accept the application qualification requirements (listed above).(Required)

I have reviewed and accept the application qualification requirements.

Please use the space below to upload the following documents before proceeding to the next section of the application.(Required)

Completed application fee processing form, $1,500
Articles of Incorporation and Bylaws
Mission Statement
Listing of Board Directors with Names, Occupations, Time of Service on Board
Most current financial statement Most current audit
Fee Schedule
Fee Waiver Policy
A listing of how the agency provides budgeting and credit counseling services for clients seeking assistance
A listing of education activities during last 12 months

Drop files here or

Max. file size: 8 MB.

Contact Person

The contact person can be either a volunteer board member or a paid staﬀ member and will serve as NFCC’s contact for questions, correspondence, and discussion during the application process.

Name(Required)

Street address(Required)

City(Required)

State/Province(Required)

Postal code(Required)

Phone number(Required)

Email(Required)

Enter Email Confirm Email

Agency

Provide the name you intend to use as your operating name when approved for membership. In the event you wish to use a “Consumer Credit Counseling Service” or the “CCCS” name and mark, the use is limited by license with the NFCC and may not be available in requested areas.

Agency name(Required)

Doing Business As(Required)

Primary Location Address(Required)

City(Required)

State/Province(Required)

Postal Code(Required)

Agency primary phone number(Required)

Agency fax number(Required)

Please list days and hours of operation(Required)

Agency will have more than one physical service location(Required)

Yes

Please provide the address of all additional physical service locations(Required)

Agency website(Required)

Social Media Presence(Required)

(List all social media account handles)

Date Business was Established(Required)

MM slash DD slash YYYY

What is the Legal Form of Ownership?(Required)

(LLC, Corporation, etc)

What is the Business Classification?(Required)

(nonprofit, for-profit, etc)

Please list all Association Memberships(Required)

Does agency have any locations or offer any services in the United States?(Required)

Yes

If yes, please provide details of locations and services provided(Required)

Is the Business Accredited?(Required)

Yes

If yes, enter name of accrediting body(Required)

Enter here...

Is your agency licensed in all areas here you do business?(Required)

Yes

If yes, please list all licenses and their expiration dates.(Required)

Is there any regulatory action, complaint, litigation, dispute or other adversarial event that is pending against your agency?(Required)

Yes

If yes. please explain the nature of the action(Required)

What services does the agency provide?(Required)

How many consumers do you serve annually?(Required)

How many consumers do you have currently enrolled in a Debt Management Plan (DMP) of equivalent?(Required)

How often do you disburse DMP payments to creditors?(Required)

Are your counselors certified?(Required)

Yes

If yes, which counselor certification program do you use?(Required)

Do you require certifications for all counselors?(Required)

Yes

If no, please explain(Required)

Compliance

The agency is a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code.(Required)

Yes

In the past ten years, has the agency been audited by the Internal Revenue Service?(Required)

Yes

When did the audit begin?(Required)

MM slash DD slash YYYY

What is the audit status?(Required)

When was the audit closed?(Required)

MM slash DD slash YYYY

Did the IRS direct the agency to take any action as part of the closing?(Required)

Yes

Please specify actions required by the IRS.(Required)

Has the agency been notified by the IRS that the IRS is considering revoking or otherwise challenging the Agency’s status under Section 501(c)(3) of the Internal Revenue Code?(Required)

Yes

When was that notification received?(Required)

MM slash DD slash YYYY

What is the status of the notification?(Required)

Compliance with NFCC Member Quality Standards

Please review the NFCC Member Quality Standards prior to proceeding.

NFCC Member Quality Standards

The agency is in compliance with NFCC Member Quality Standard # 01.00: Accreditation(Required)

Yes