Please fill out the fields in the form below. You will also need to either fax a month’s worth of your proof of income to (209) 948-1372 or drop it off at your nearest Financial Center Credit Union’s Night Drop or Deposit Box. This form supports the maximum level of encryption technology your browser allow, up to 256-bit SSL encryption to protect your personal information while it is in transit. Please view our Privacy Policy for more information.

  • OK First Name: is required
  • OK Last Name: is required
  • OK Preapproval Type: is required
  • Phone:

    - -
    OK Phone: is required
  • OK E-mail: is required
  • OK Occupation: is required
  • OK Employer: is required
  • OK Monthly Income: is required
  • OK Amount Requested: is required
  • OK Best time to contact: is required
  • Optional OK Preapproval Code: is required
  • OK Security Code is required