Skip to content
  • Please check the box for the type of credit you are asking for

    OK Please check the box for the type of credit you are asking for is required
  • OK We intend to apply for joint credit: Applicant Name is required
  • OK We intent to apply for a joint credit: Co-Applicant Name is required
  • OK I intend to apply for joint credit with is required
  • OK Applicant Signature (please type your name) is required
  • OK Purpose of Loan is required
  • OK Dollar Amount requested is required
  • Complete this section only if a Wisconsin resident: Applicant

    OK Complete this section only if a Wisconsin resident: Applicant is required
  • Co-Applicant

    OK Co-Applicant is required
  • Co-Applicant

    OK Co-Applicant is required
  • I am a student at an institution of higher education, and I live on campus or within 1,000 feet of a campus border.

    OK I am a student at an institution of higher education, and I live on campus or within 1,000 feet of a campus border. is required
  • OK Choose the location you would like to complete your application is required
  • OK Applicant Name is required
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Date of Birth

    OK Date of Birth is required
  • OK SSN is required
  • OK Phone is required
  • OK E-mail is required
  • OK Employer Name is required
  • OK How long have you been at this employer? is required
  • OK Monthly Gross Pay is required
  • OK Spouse: Employer Name is required
  • OK Spouse: How long you been at this employer? is required
  • OK Spouse: Monthly Gross Pay is required
  • NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

  • OK Other Income Source is required
  • OK Amount is required
  • Are you obligated to make child support payments?

    OK Are you obligated to make child support payments? is required
  • OK Spouse: Other Income Source is required
  • OK Spouse: Amount is required
  • Spouse: Are you obligated to make child support payments?

    OK Spouse: Are you obligated to make child support payments? is required
  • NOTICE TO MARRIED APPLICANT: No provision of a marital property agreement, a unilateral statement under Wis. Stats. sec. 766.59 or a court decree under Wis. Stats. sec. 766.70 adversely affects the interests of the credit union unless prior to the time the credit is extended, the credit union is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision when the obligation to the credit union is incurred.

    This statement is submitted to obtain credit and does not constitute a contract for the extension of credit. I (We) certify that all information herein is true and complete. I (We) also authorize the credit union to verify or obtain any additional information the credit union may deem necessary concerning my (our) credit standing from credit bureaus, collection agencies, and any other source for consideration for the loan applied for hereon or for any other service offered at this credit union or its affiliate. The credit union may release information about its credit experience with me (us) as permitted by law. I (We) understand that it may be a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts, as applicable under the provisions of Title 18, United States Code, Section 1014.

  • OK Applicant Initials is required

Co-Applicant Information

  • OK Co-Applicant Name is required
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Date of Birth

    OK Date of Birth is required
  • OK SSN is required
  • OK Phone is required
  • OK E-mail is required
  • OK Employer Name is required
  • OK How long have you been at this employer? is required
  • OK Monthly Gross Pay is required
  • NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

  • OK Other Income Source is required
  • OK Amount is required
  • Are you obligated to make child support payments?

    OK Are you obligated to make child support payments? is required
  • NOTICE TO MARRIED APPLICANT: No provision of a marital property agreement, a unilateral statement under Wis. Stats. sec. 766.59 or a court decree under Wis. Stats. sec. 766.70 adversely affects the interests of the credit union unless prior to the time the credit is extended, the credit union is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision when the obligation to the credit union is incurred.

    This statement is submitted to obtain credit and does not constitute a contract for the extension of credit. I (We) certify that all information herein is true and complete. I (We) also authorize the credit union to verify or obtain any additional information the credit union may deem necessary concerning my (our) credit standing from credit bureaus, collection agencies, and any other source for consideration for the loan applied for hereon or for any other service offered at this credit union or its affiliate. The credit union may release information about its credit experience with me (us) as permitted by law. I (We) understand that it may be a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts, as applicable under the provisions of Title 18, United States Code, Section 1014.

  • OK Co-Applicant Initials is required

    COMPLETE THIS SECTION ONLY IF YOU ARE MARRIED AND YOU ARE APPLYING FOR CREDIT SEPARATE FROM SPOUSE IF THIS SECTION APPLIES, WE ARE REQUIRED BY WISCONSIN LAW TO NOTIFY YOUR SPOUSE BY MAIL IF YOUR LOAN IS GRANTED.

  • OK Applicant Signature (please type your name) is required
  • E-Sign Act Disclosure and Consent

    • Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
    • OK
      You must read and agree to the terms of the E-Sign Act disclosure. Please make sure that you read it carefully and keep a copy for your records. Please agree to the E-Sign disclosure to continue.
  • OK is required