Short Form

Account Number

If you don't currently have an account number you can leave this field blank

Loan Amount Requested *

Purpose *

Applicant Information

First Name *

Last Name *

Phone Number *

Email *

Preferred Contact Method *

Phone Call

Text Message

Email

Employer Name

If not currently employed please list your primary source of income instead of employer

Start Date

Do you have Direct Deposit

Yes

No

Upload Proof of Income (use this for PDF)

Use this option to upload an existing file

Click or drag & drop file here to upload

Use this option to upload an existing file

Click or drag & drop file here to upload

Use this option to take a picture from a mobile device

Click or drag & drop image here to upload

Use this option to take a picture from a mobile device

Click or drag & drop image here to upload

Co-Applicant Information

If you don't have a co-applicant you can skip this section.

First Name

Last Name

Phone Number

Email

Preferred Contact Method

Phone Call

Text Message

Email

Employer Name

If not currently employed please list your primary source of income instead of employer

Start Date

Do you have Direct Deposit

Yes

No

Upload Proof of Income (use this for PDF)

Use this option to upload an existing file

Click or drag & drop file here to upload

Use this option to upload an existing file

Click or drag & drop file here to upload

Use this option to take a picture from a mobile device

Click or drag & drop image here to upload

Use this option to take a picture from a mobile device

Click or drag & drop image here to upload

Any additional information that you would like to include:

Credit Check Authorization

I authorize Straits Area Federal Credit Union (hereinafter SAFCU) to obtain a credit report for the purpose of reviewing this loan request. If an adverse decision is made due totally or partially to the information on the credit report, SAFCU will provide an adverse action notice in accordance with the Fair Credit Reporting Act. You warrant to SAFCU that the information you are submitting is true and correct.

Thank You, you're information has been submitted. A representative will contact you within two business days.