SCCU Loan Application * Required Fields First Name: Last Name: Current Address: Current Address 2: City: State: Select... AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP: Length of Residency: Email Address: Do you own or rent? (Choose once box): Own Rent Live with others Cell Phone Number: Social Security Number: Account Number (Optional): Employment Current Employer: Job Title: Start Date (Month/Year): Gross Monthly Income: Any Additional Income (Pension, SSA, Child Support, 2nd job, etc.) Optional: Type of Loan Requested (Choose one): Select... Vehicle Personal Unsecured Credit Card Misc. Recreational Amount Requested: Preferred Method of Contact (Choose one): Select... Call Text Email Good number or email: Signature: Date - Enter Month, Day and Year: By signing above, you are authorizing SCCU to obtain your credit report and you are authorizing SCCU to contact you VIA text and email. Go to main navigation