Fraud Alert: HealthShare will never ask for your debit/credit card number or online banking pin, password or passcode. If you receive a call or email reporting to be from the credit union asking for any of these, please call the credit union directly at 336-832-8119.

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 *

Credit Type *

If joint, complete Co-Applicant section also.

Applicant

Account Number

Name *

Address *

Address (contined)

City *

State *

Zip Code *

Cell Phone Number *

Social Security # *

Date of Birth *

Enter your email *

Rent or Own? *

Monthly Payment *

Employer *

Department/Position *

Year at Employer *

Gross Income *

Other Income*

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

Co-Applicant (Fill out only if Joint Credit)

Account Number

Name

Address

Address (contined)

City

State

Zip Code

Cell Phone Number

Social Security #

Date of Birth

Enter your email

Rent or Own?

Monthly Payment

Employer

Department/Position

Year at Employer

Gross Income

Other Income*

* 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 Max file size: 15MB

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.

Website

Helping members gain financial confidence and experience more joy in life

Questions? Text Us

Phone: (336) 832-8119
Mortgage Dept: (336) 404-9965
Fax: (336) 832-8129

Lost/Stolen Debit Cards: (800) 523-4175
Lost/Stolen VISA Credit Cards: (800) 325-3678
ABA/Routing Number: 253176037

Moses Cone Hospital
1200 N. Elm Street
Greensboro NC 27401

Wesley Long Hospital
501 N. Elam Ave
Greensboro NC 27403

Alamance Regional Medical Center
1240 Huffman Mill Rd
Burlington, NC 27215