You will need the following information in order to complete the application:
Government issued ID/Drivers License/State ID or Passport with current address (ID REQUIRED for processing)
Your complete physical and mailing address
Social Security Number
Date of Birth
* Federal law requires us to obtain sufficient information to verify your identity. You may be asked several questions, and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources (credit reporting agencies) to confirm the information. Therefore, you are authorizing us to verify this information by any means necessary, including preparation of a credit report by a credit reporting agency. The information you provide is protected by our privacy policy and federal law.
Select your eligibility
Please select the Indiana or Michigan County or Township in which you live:
Please select the Indiana or Michigan County or Township in which you work:
Please enter the name of your employer:
Or, please select your relationship to a member of Everwise.
Please Note: If you live in Michigan, you are eligible only if you live with your relative (Everwise Member): Please enter your relatives first and last name:
Would you like to order your first box of checks?*
Yes
No
Would you like convenient access to your new account with a Debit MasterCard® that earns a Rebate?*
Yes
No
Please select whether you would like to Opt-In or Opt-Out of Debit Card Authorization. Easily Opt-In or Opt-Out at any time in online banking or the mobile app.*
Would you like to receive your Statements conveniently and securely within Online Banking?*
Yes
No
Please select the appropriate Taxpayer Certification option based on the applicant's response.*
Would you like to order your first box of checks?*
Yes
No
Would you like convenient access to your new account with a Debit MasterCard® that earns a Rebate?*
Yes
No
Please select whether you would like to Opt-In or Opt-Out of Debit Card Authorization. Easily Opt-In or Opt-Out at any time in online banking or the mobile app.*
Would you like to order your first box of checks?*
Yes
No
Would you like convenient access to your new account with a Debit MasterCard® that earns a Rebate?*
Yes
No
Please select whether you would like to Opt-In or Opt-Out of Debit Card Authorization. Easily Opt-In or Opt-Out at any time in online banking or the mobile app.*
Would you like to order your first box of checks?*
Yes
No
Would you like convenient access to your new account with a Debit MasterCard® that earns a Rebate?*
Yes
No
Please select whether you would like to Opt-In or Opt-Out of Debit Card Authorization. Easily Opt-In or Opt-Out at any time in online banking or the mobile app.*
Would you like to order your first box of checks?*
Yes
No
Would you like convenient access to your new account with a Debit MasterCard® that earns a Rebate?*
Yes
No
Please select whether you would like to Opt-In or Opt-Out of Debit Card Authorization. Easily Opt-In or Opt-Out at any time in online banking or the mobile app.*
Funding is required to complete your account activation. If you choose to fund later, a representative will reach out to you. This may delay your account activation.
This modal is for testing the Apple Pay workflow only. It will not be displayed to the applicants. Press the Success button to simulate a successful Apple Pay transaction. Press the Fail button to simulate an unsuccessful Apple Pay transaction.
Funding is required to complete your account activation. If you choose to fund later, a representative will reach out to you. This may delay your account activation.
We offer a way to instantly verify your account information using . We only use this partner service to retrieve information required to transfer funds from your specified financial institution and to verify that your current balance is sufficient for this transaction.
Supporting documentation is REQUIRED to continue (Government Issued ID, Driver's License/State Issued ID or Passport with current address, etc.). Please upload here:
System can't prefill due to ZIP code discrepancy. Please proceed by manually entering the information or correct the value in the ZIP field in the 1st page.
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