Online Loan Application

Getting ready to make a large purchase? Get pre-approved so you can negotiate as a "Cash" buyer. Just complete the below application and submit it. Once received, your Credit Union loan officer will process your application and grant you pre-approval, subject to verification of information. To speed up the process you may fax your most recent pay stub to (336) 832-8129.

For your security, we use SSL encryption. If you prefer, you can print out this application, complete it and fax it to the above number. You should see a secure symbol on your browser, if not apply via the secure server.

This loan application is only for existing members or eligible members of HSCU. If you are interested in becoming a member, visit our membership page for more information.

Loan Type Requested *

Purpose *

I have read the Credit Card terms and conditions. Required

Loan Amount Requested *

Repayment Method *

Credit Type *

If joint, complete Co-Applicant section also.

Applicant

Account Number *

Name *

Address *

Address (contined)

City *

State *

Zip Code *

Primary Phone Number *

Work Number

Other Phone Number

Social Security # *

Date of Birth *

Enter your email *

Number of Dependents *

Years at Residence? *

Months *

Rent or Own? *

Monthly Payment *

Personal Reference

Reference Phone

Employer *

Employer Address *

Employer City *

Employer State *

Department/Position *

Year at Employer *

Months

Gross Income *

Frequency *

Other Income*

Frequency

* Income from alimony, child support or separate maintenance payment need not be revealed if you do not choose to disclose it as income.

Outstanding Debts

Creditor 1

Balance

Monthly Payment

Creditor 2

Balance

Monthly Payment

Creditor 3

Balance

Monthly Payment

Creditor 4

Balance

Monthly Payment

Creditor 5

Balance

Monthly Payment

Creditor 6

Balance

Monthly Payment

Co-Applicant (Fill out only if Joint Credit)

Account Number

Name

Address

Address (contined)

City

State

Zip Code

Primary Phone Number

Work Number

Other Phone Number

Social Security #

Date of Birth

Enter your email

Years at Residence?

Months

Rent or Own?

Monthly Payment

Employer

Employer Address

Employer City

Employer State

Department/Position

Year at Employer

Months

Gross Income

Frequency

Other Income*

Frequency

* Income from alimony, child support or separate maintenance payment need not be revealed if you do not choose to disclose it as income.

Comments/Other

Required documents to upload: Proof of Income (two of your most recent pay statements.)

Upload Documents

Drag and drop files here or Browse

Maximum 5 files

By clicking on the Submit button below, I/we certify that the information herein is true and complete. I/we agree that inquiries may be made to verify information and that credit references or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of the credit union. I/We understand that you shall retain this application whether or not it is approved.

Applicant Signature *

Co-Applicant Signature

Note: Approval decisions will normally be made in 24 hours (except weekends). You will be contacted once a decision has been made.

First Name