CHAP Electronic Application

APPLICANT PROFILE

Applicant Name *

Applicant Date of Birth *

Spouse/Significant Other Name *(type NA if not applicable)

Spouse/Significant Other Date of Birth *

(enter 01/01/2001 if not applicable)

Co-Applicant of House – if different than Spouse/Significant Other *(type NA if not applicable)

Street Address *

City *

State/Province *

ZIP / Postal Code *

Email Address *

Cell Phone *

Landline Phone (if available)

Number of Dependents *

Dependent Ages

Children Attend What School(s)

CONFIDENTIAL DISCLOSURE AGREEMENT

WHEREAS the Applicant has provided to Cranberry Isles Realty Trust (hereinafter CIRT) certain personal information related to this Eligibility Application; and

WHEREAS CIRT has required submission of the information contained on the attached Eligibility Application, including certain information pertaining to the Applicant’s qualification for bank financing;

NOW THEREFORE, in consideration for the mutual purposes of the Applicant and CIRT, the parties agree as follows:
1. Disclosure. The Applicant agrees to disclose and CIRT agrees to receive certain Confidential Information.
2. Confidentiality. CIRT agrees to use its best efforts to prevent and protect the Confidential Information, or any part thereof, from disclosure to any person other than those having a need
for disclosure, including: the employees of CIRT, members of the Board of Directors of CIRT or any of the Board’s committees or subcommittees, and certain consultants having a need for disclosure in connection with CIRT’s authorized use of the Confidential Information.
3. Limits on Confidential Information. CIRT shall have no obligation with respect to such information where the information: (a) was known to CIRT prior to receiving any confidential information from Applicant; (b) has become publicly known through no wrongful act of CIRT; (c) was received by CIRT without breech of this Agreement from a third party without restriction as to use and disclosure of the information; (d) was ordered to be publicly released by the requirement of a government agency.
4. Ownership of Confidential Information. Applicant agrees that all Confidential Information included in this Application shall remain the property of CIRT and that CIRT may use such Confidential Information for purposes related to the determination of the qualifications of the Applicant pursuant to this Application.

Applicant Signature *

Date *