SAMPLE A

Collection, Use and Sharing of Your Personal Information

As part of the Pre-Qualification process, you also understand and agree to all of the following:

In this section, "you", "your", and "yours" mean the applicant. "We", "us", and "our" means the Dental Grants Program, its subsidiaries and parent companies.

"Dentist" means (the supplier of dental services to you) the dentist who receives any Information about you from us. "Information" means personal, financial, credit and other details about you that you provide to us and that we obtain from others outside the organization, including through the products and services you use.
 

We will use the Information you provide, for the purpose of verifying your identity and to obtain your consumer credit bureau report as described below. 
 

In order to process your application for Pre-Qualification, we are required to ask you for Information. The Information that you provide will be compared against the Information contained in the consumer credit report we access (called a "soft check") to help confirm your identity. The consumer credit report will also be used to assess your application for Pre-Qualification. Should the Information you provide not match the Information contained in your consumer credit report, you will not be able to complete the Pre-Qualification. Note: We will refer to one consumer credit report for one or more applications for Pre-Qualification provided the consumer report on file is less than sixty (60) days old. If it is more than sixty (60) days old we will access a new consumer credit report for such application for Pre-Qualification. 
 

You agree that, throughout our relationship with you, we may obtain, use and share Information about you with: you, credit reporting agencies, other lenders, the dentist that provides services to you and other suppliers of goods and services to you, for the purposes of validating your identity, reviewing and verifying your creditworthiness, servicing the loan and for debt collection and contract enforcement purposes.
 

You also agree that, throughout our relationship with you, we may also obtain, use and share information about you in the manner described at https://www.dentalgrants.org/privacy-policy, for the purposes of providing ongoing service, sharing Information with our affiliates, meeting legal requirements, understanding your financial needs, protecting us both from fraud and error, and marketing products and services to you by telephone at the numbers you have provided us, or by internet, mail, SMS, email or other methods. If there is a conflict between the provisions on any credit pre-qualification application and the Privacy Agreement, the provisions of any credit pre-qualification application will prevail.
 

You certify that all Information is true, accurate and complete.
 

You confirm that any credit pre-qualification application submitted is not for the benefit of any person other than yourself.