Membership Application

When submitting your application, you should also provide the Credit Union with your minimum deposit of $5.00.  You can do this via mail, stopping by the Credit Union, electronic transfer, or Payroll Deduction.

Each member must have a Share Account with an initial deposit and minimum balance of $5.00 with the Credit Union.  Why $5.00?  Credit Unions are owned by their members – it is your shares in the Credit Union.

 

Account Information

In addition to your Share Account, what other type of account would you like to open with UCU?

(To choose multiple account types, hold down the CTRL key and click each type of account you would like.)

 
Will this be a joint account? Yes  No 

I am eligible for membership through my:
Employer 

School

 (If you are a student)
Family Member (Please provide name) 

Personal Information
 If this is a joint account, please fill out the bottom portion as well.
Prefix:
First Name:
Middle Initial:
Last Name:
Suffix:
Social Security #:
Date of Birth: (xx/xx/xxxx)
Address:
City:
State:
Zip:
Home Phone #:

Email:
Mother's Maiden Name:

Employment or School Information
Employer or School:
Occupation or Major:
Address:
City:
State:
Zip:
Work Phone #:

Identification

Specify Type of ID (Ex.  Driver's License, Passport, or other government-issued ID): 

State-Issued ID Number:

State Issued:  

Issue Date:  (xx/xx/xxxx)

Expiration Date:   (xx/xx/xxxx)

Secondary Form of Identification:

Specify Type of ID (Ex.  Work ID, Passport, etc.): 

ID Number: 

Issue Date:  (xx/xx/xxxx)

Expiration Date:  (xx/xx/xxxx)
How did you hear about the University Credit Union?  Please check all that apply.

  Employer
 School

  Co-Worker  -  Co-Worker's Name: 

  Family Member  -   Family Member's Name: 
 Mail from University Credit Union

  Benefits Fair
  Internet
  Other (Please Specify) 

Do you have any questions or comments?

If this is a single account, you may read below and submit your application. 

If it is a joint account, please fill out the portion below as well before submitting.

By submitting this Membership Application, the applicant agrees that the Credit Union may obtain any credit reference necessary including, but not limited to, National Protection Service, Inc.  The applicant also agrees to the rules and regulations governing accounts with this institution as they now are or hereafter may be altered or amended without further notice.  In order to comply with the U.S. Patriot Act, University Credit Union may request additional documentation to verify your identity, such as copies of identification or address verification.

Important Note: Before submitting this application, you must read our Privacy Policy, Truth in Savings Disclosure, and Consumer Identification Protection Disclosure.

 

Joint Member Information
First Name:
Middle Initial:
Last Name:
Social Security Number:
Date of Birth: / / (xx/xx/xxxx)
Address:
City:
State:
Zip:
Home Phone Number:
Mother's Maiden Name:

Employment Information
Employer:
Work Phone Number:

Identification

Specify Type of ID (Ex.  Driver's License, Passport, or other government-issued ID): 

State-Issued ID Number:

State Issued:  

Expiration Date:   (xx/xx/xxxx)

Secondary Form of Identification:

Specify Type of ID (Ex.  Work ID, Passport, etc.): 

ID Number: 

Expiration Date:  (xx/xx/xxxx)

Important Note: Before submitting this application, read our Privacy Policy, Truth in Savings Disclosure, and Consumer Identification Protection Disclosure.

 

By submitting this Membership Application, the applicant agrees that the Credit Union may obtain any credit reference necessary including, but not limited to, National Check Protection Service, Inc.  The applicant also agrees to the rules and regulations governing accounts with this institution as they now are or hereafter may be altered or amended without further notice.

 

 
Your savings federally insured to at least $250,000 and backed by the full faith and credit of the United State Government. National Credit Union Administration, a U.S. Government Agency.
Branch: 846 Commonwealth Avenue - Boston, MA 02215
Phone: 617-739-7447
 Fax: 617-278-5890 Loan Dept. Fax: 617-739-8346  

Branch: 710 Albany Street - Boston, MA 02118

Phone: 617-638-1900

Fax: 617-638-1901 Routing Number: 211-080-767
 
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