Loan Application


To apply for a First Mortgage, click here for the Pre-Qualification Residential Loan Quick Worksheet, Print, Complete, and fax to number at top of worksheet. 

To apply for a HealthNet FCU Smart Option Student Loan by Sallie Mae®, please click here

FOR ALL OTHER LOANS, SEE BELOW

Fill in the fields below as completely as possible. (Additional information will be required after your submission is reviewed.)

If you are not currently a member but are eligible for membership, please complete a Membership Application in addition to your loan application.


 
Vehicle Loan Information
Desired Term *
In months
Applicant Information
Name *
Name
Last 4 Digits ONLY
Home Address *
Home Address
Phone *
Phone
Work Phone
Work Phone
1st Mortgage Loan Information
Desired Term *
In years
Applicant Information
Name *
Name
Last 4 digits ONLY
Home Address *
Home Address
Phone *
Phone
Work Phone
Work Phone
Persoanl Loan Information
Desired Term *
In months
Applicant Information
Name *
Name
Last 4 digits ONLY
Home Address *
Home Address
Phone *
Phone
Work Phone
Work Phone
Holiday Loan Information
Desired Term *
Automatic 12 month term on Holiday loans
Applicant Information
Name *
Name
Last 4 digits ONLY
Home Address *
Home Address
Phone *
Phone
Work Phone
Work Phone
 

Please Note:
By submitting this application, you authorize HealthNet Federal Credit Union to gather whatever credit and employment information considered appropriate, including information from various credit reporting agencies.