Youth Savings Account Application
Primary Owner - Youth
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We use a 'Code Word' for identification purposes. Choose a security word that you will remember:
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Home Address
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Mailing Address (If different from above)
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Membership Eligibility
Member or student of an Anabaptist church or organization
I am a relative of an Everence member
Shared Values - Agree to Psalm 24: "All I am and all I have are from God."
Please enter the church or organization name if applicable:
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Please enter the name of your relative that is an Everence member if applicable:
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If a licensed driver, please upload a copy of your driver's license:
Upload File - Acceptable formats are .pdf, .docx, .doc, .odt, .rtf, .txt. The maximum size of the uploaded file is 3 megabytes (3mb)

Click or drag & drop file here to upload

Upload Image - Acceptable formats are .png, .jpg, .jpeg. The maximum size of the uploaded file is 3 megabytes (3mb).

Click or drag & drop image here to upload

Joint Owner Name - Parent / Grandparent / Guardian
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Enter home address if different than youth:
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Please upload a copy of your valid Photo ID / Driver's License.*
Upload File. Acceptable formats are .pdf, .docx, .doc, .odt, .rtf, .txt. The maximum size of the uploaded file is 3 megabytes (3mb)

Click or drag & drop file here to upload

Upload Image. Acceptable formats are .png, .jpg, .jpeg. The maximum size of the uploaded file is 3 megabytes (3mb). *

Click or drag & drop image here to upload

Additional Joint Owner Name
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Enter address only if different from child
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Photo ID / Driver's License upload
Upload File. Acceptable formats are .pdf, .docx, .doc, .odt, .rtf, .txt. The maximum size of the uploaded file is 3 megabytes (3mb)

Click or drag & drop file here to upload

Upload Image. Acceptable formats are .png, .jpg, .jpeg. The maximum size of the uploaded file is 3 megabytes (3mb).

Click or drag & drop image here to upload

Disclosures
This electronic submission qualifies as my signature. I understand that I may have to sign additional documents before my new membership will be processed.
I understand that by clicking on the I AGREE button immediately following this notice, I am providing 'written instructions' to Everence Federal Credit Union under the Fair Credit Reporting Act authorizing Everence Federal Credit Union to obtain information from my personal credit profile or information from Experian or others, including but not limited to verifying my identity and performing authentications as required by applicable local, state, and federal regulations. I authorize Everence Federal Credit Union to obtain such information solely for membership opening with Everence Federal Credit Union.
By submitting this application electronically and clicking “I AGREE” below, I acknowledge that I have read and accepted the terms and conditions of Everence Federal Credit Union’s MEMBERSHIP DISCLOSURE, DEPOSIT RATES, FEE SCHEDULE, and PRIVACY NOTICE. All joint applicants (where applicable) have also agreed to the terms and conditions above and authorized the submission of this application.
Certification, backup withholding information: By clicking “I AGREE” below, I certify that:
1. The Social Security Number I provide on this application is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).
If you answer no to any of the above statements please contact the credit union at 800-451-5719 for an alternative application.
I authorize Everence Federal Credit Union to obtain my credit report and process this application for credit union membership.
I AGREE
Thank you for applying! Someone from our team will contact you within one business day to provide the account number so you can make a deposit.