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Personal Information
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Reference Information
Contact Information
Current Physical Address
Identification
Financial Information
Monthly Expenses
Please attach a copy of your current Driver's License or other form of government-issued ID.Please upload legible PDF. or JPG. file types.
Additional Information
How many hours do you work a week?*
May we contact you using the phone numbers you provided? Click Here for disclosure.*
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* Avoid glare
* Make sure image is in focus
Additional Applicant Information
About Your Additional Applicant
Personal Information
SSN IconLock
SSN IconQuestion
Reference Information
Contact Information
Current Address
Identification
Financial Information
Monthly Expenses
Please attach a copy of your current Driver's License or other form of government-issued ID.Please upload legible PDF. or JPG. file types.
Additional Information
How many hours do you work a week?*
May we contact you using the phone numbers you provided? Click Here for disclosure.*
Speed up your application process by taking the BACK image of your US driver's license.
If you do not wish to use this feature, simply close this popup window and proceed.
Recommendation for best recognition:
* Use a dark background
* Make sure all four corners are visible
* Avoid glare
* Make sure image is in focus
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Personal Loan Information
Additional Loan Information
Applicant Information
Reference Information
Applicant Contact Information
Address
Your Identification
Your Secondary Identification
Financial Information
Previous Employment Information
Eligibility
Because membership is required to take advantage of this wonderful loan product, please tell us how you qualify for membership.
I work for the following company:
I am active duty military stationed at Keesler AFB or John C Stennis Space Center.
I am a Contractor at:
I am a member of the following association:
I attend school at:
I am a retiree or military reserve:
Family:
. Their name is and they are my .
Live, work, worship, or attend school in Harrison, Hancock, Pearl River or Forrest Counties or select census tracts Hinds or Jackson Counties.
Live, work, worship or attend school in specified census tracts of Orleans Parish, LA.
Live, work, worship or attend school in select census tracts in St. Tammany Parish, LA.
Live, work, worship or attend school in, and businesses and other legal entities located in specified census tracts in Mobile County, AL.
I am an existing primary member opening a new primary account.
I am an Alumni of:
I am active military stationed in the United Kingdom. My branch and rank is:
I am a retiree or military reserve "logistically supported” in the United Kingdom:
Live, work, worship, or attend school in specified census tracts in Jefferson Parish, LA
Live, work, worship or attend school in specified census tracts in Plaquemines Parish, LA
Live, work, worship or attend school in specified census tracts in St. Bernard Parish, LA
Live, work, worship or attend school in specified census tracts in St. Charles Parish, LA
Live, work, worship or attend school in specified census tracts in St. James Parish, LA
Live, work, worship or attend school in specified census tracts in St. John the Baptist Parish, LA
If I am not approved for the above loan product,
Required Products
Select at least one of the following products required for membership
Primary Share
Primary share minimum deposit of $5.00 required to open.
Min Deposit: $5.00
You may select one of the following products
Available Products
Kasasa Saver Cash Back
Roll your cash back earnings into a savings account with above average earning potential. Kasasa Cash Back Checking required.
Kasasa Saver Cash
Roll your checking dividends in a savings account with above average earning potential. Kasasa Cash Checking required.
Kasasa Cash
Free checking with rewards! Earn high dividends and pay no monthly service charge.
Min Deposit: $25.00
Kasasa Tunes
Free checking with rewards! Get reimbursements for online purchases from iTunes, Amazon.com or Google Play with no monthly service charge.
Min Deposit: $25.00
Kasasa Cash Back
Free checking with rewards! Get cash back on everyday purchases and pay no monthly service charge.
Min Deposit: $25.00
Free4all Checking
Free basic checking with no minimum balance requirements and no service charge.
Min Deposit: $25.00
APY (Annual Percentage Yield)
Your Selected Products
Funding
Your funds will not be transferred until all of your accounts are approved
How much do you want to deposit?
Funding Options
Please answer question(s) below
I am a Person who*
What is the maximum amount of funds you may wire from this account at any one time?
*
Create a "password" for your wire account.
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Is there an interpreter or someone else speaking on the behalf of the member?*
What is the name and Social Security Number (SSN) of the interpreter?*
Re-enter: What is the name and Social Security Number (SSN) of the interpreter?
Are you a frequent traveler?*
Do you travel outside of the US?*
To which countries do you travel?*
Re-enter: To which countries do you travel?
Will the initial deposit exceed $5000?*
What is the source of funds for this initial deposit?*
Will you deposit or write checks?*
Will you deposit or withdraw cash?*
Approximately how much cash do you expect to deposit each month?*
Approximately how much cash do you expect to withdraw each month?*
Will you send or receive wire transactions?*
What is the expected monthly total of wire transactions that you expect to send?*
Will these wires be sent to or received from non US locations?*
To/From which countries do you expect to send/receive wires?*
Re-enter: To/From which countries do you expect to send/receive wires?
Will you send or receive electronic (non-wire) transactions?*
Are you a U.S. citizen?*
We recommend that you add a private code word to your account that only you know. When you call us and provide your code word, we know we're doing business with you.*
What is your country or origin (home country or country of citizenship)?*
Are you currently, or have you ever been a politically exposed person (PEP) or a senior political figure?*
Do you have a Green Card, or are you a foreign resident of the U.S. (legal permanent resident)?*
Do you have a US Individual Taxpayer Identification Number (ITIN)?*
What is your US Individual Taxpayer Identification Number?*
Re-enter: What is your US Individual Taxpayer Identification Number?
Do you have citizenship with any other country?*
With what other countries do you have citizenship?*
Re-enter: With what other countries do you have citizenship?
In what country are/were you a PEP?*
Re-enter: In what country are/were you a PEP?
Are you an employee of an embassy, foreign consulate or foreign mission?*
What is the home country of the embassy, foreign consulate or foreign mission?*
Re-enter: What is the home country of the embassy, foreign consulate or foreign mission?
Will you be using a safe deposit box?*
Are you an immediate family member or a close associate of someone who is currently, who was, a PEP?*
If yes, what is the nature of your relation to him/her?*
Protection that Matters
Credit Life and Credit Disability Insurance, underwritten by CMFG Life Insurance Company, is available for most loan products
Would you like more information about protecting your loan payment or balance with Credit Life and Credit Disability Insurance from your lender?Debt Protection is available with most loans by the credit union. It is designed to cancel your loan payment or balance, up to the contract maximums, if a protected life event occurs. Available package options will include one or more of the following life events: Life, Disability or involuntary unemployment.
Would you like more information about protecting your loan payment or balance with Debt Protection from your lender?MEMBER’S CHOICE™ Guaranteed Asset Protection (GAP) is an optional protection product made available by the credit union. In the event of a total loss, GAP is designed to cancel the difference between your primary insurance settlement and the outstanding loan balance, up to the contract maximums. For more information, call or visit the credit union.
Would you like more information about protecting your loan with GAP from your lender?Mechanical Repair Coverage can help you limit the cost of covered vehicle breakdowns.
Would you like more information about Mechanical Repair Coverage from your lender?Read, Sign and Submit
Your application is not complete until you read the disclosure below and click the "I Agree" button in order to submit your application.
You are now ready to submit your application! By clicking on "I agree", you authorize us to verify the information you submitted and may obtain your credit report. Upon your request, we will tell you if a credit report was obtained and give you the name and address of the credit reporting agency that provided the report. You warrant to us that the information you are submitting is true and correct. By submitting this application, you agree to allow us to receive the information contained in your application, as well as the status of your application.
Email Agreements & Disclosures
The links to Agreements & Disclosures will be sent to your e-mail account so you may view/print later.
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