Apply for a Loan

SCCU Loan Application

* Required Fields

First Name:

Last Name:

Current Address:

Current Address 2:

City:

State:

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:

Date of Birth:

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):

Amount Requested:

Preferred Method of Contact (Choose one):

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.