Please enable JavaScript in your browser to complete this form.I am applying for:Please select a loan typePersonal LoanBack To School LoanFamily LoanLoyalty LoanAmount requested:Membership number: *Name *FirstLastAddress: *Number of years at this address: *Previous address (if under three years):Telephone numbers: *Mobile and/or landline.Email *EmailConfirm EmailNumber of dependent children: *… and their ages. If you have any.Marital statusSingleMarriedSeparatedDivorcedWidowedLiving with partnerHousingHomeownerCouncil tenant Private tenant Other living arrangementsName of landlord:If you have one.EmploymentEmployedUnemployedSelf employedRetiredName of employer:If appropriate.Years of service:If appropriate.Have you ever served in HM armed forces?YesNoPlease let us know…I have County Court JudgementsI have been declared bankruptI have or am considering a Debt Relief OrderI make weekly or monthly repayments or items or servicesI have previously had a social fund loanI have rent or council tax arrearsI have other outstanding debtsIncome from employment *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlyIncome from partner's employment *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlyIncome from child benefits *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlyOther incomesIf you have any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on car repayments *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on car tax *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on car insurance *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on car repairs *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on car fuel *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlyPlease detail all items on finance and credit cards *If any.Spending on mortgage or rent *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on council tax *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on electricity bills *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on gas bills *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on water bills *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on groceries and houseland goods *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on clothing and footwear *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on mobile & landline telephone *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on internet services *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending home insurance *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on savings or pension payments *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on medical expenses *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on holidays *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on birthday and Christmas presents *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on social life (inc. treats & takeaways) *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on hobbies and sports *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on lottery and gambling *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on subscriptions & membership fees *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on alcohol *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on childcare payments *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on school meals *Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on children's activities & pocket money *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on hair dressing & beauty treatments *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlySpending on pets *If any.Per… *Please select a time periodWeeklyTwo weeklyFour weeklyMonthlyTerms and Conditions *I agree to the terms and conditions below.I confirm that the information given is true and complete to the best of my knowledge and belief. I also authorise you to make any credit reference checks and other enquiries in accordance with your procedures in connection with this application. I agree that the information obtained about me as a consequence of this and / or any other application and agreement which I have made with the credit union that may be held on computer. I will not discuss or disclose details of my dealings with the credit union with / to any other parties. We are also part of the Financial Ombudsman Scheme. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Operates in line with the Credit Unions Act 1979. Any loan applications may be subject to a credit reference agency and anti-fraud search, other searches may be performed to verify the information you have provided is accurate.Submit