Membership Application

Please Refer to Membership Eligibility

Applicant Information
Share Savings Account
Share Certificate
Money Market
Checking Account
Debit Card
Vacation/Christmas Clubs
Savings Account deposit of
($25.00 or more)
*
Share Certificate deposit of
($250.00 or more)
*
I am eligible to join because I Work
I Live
I Worship
I Attend School
In County
  Single Party
Multiple Party with Survivorship
Name (First, M.I. , Last)
Mother's Maiden Name
Social Security Number
Date of Birth
Driver's License #
Driver's License State
Address
City
State
Zip
Years There    
Home Phone
Work Phone
Are You A US Citizen? Yes No
E-mail Address
Joint Owner Account Information (if applicable)
Name (First, M.I. , Last)
Relationship To Member
Social Security Number
Date of Birth
Driver's License #
Driver's License State
Address
City
State
Zip
Years There  
Home Phone
Work Phone
Are You A US Citizen? Yes No
E-mail Address
Beneficiary
Name (First, M.I. , Last)
Relationship To Member
Social Security Number
Date of Birth
Driver's License #
Driver's License State
Address
City
State
Zip
Years There  
Home Phone
Work Phone
Are You A US Citizen? Yes No
E-mail Address

Joint Share Account Agreement
The Credit Union is hereby authorized to recognize any of the signatures subscribed hereto in the payment of funds or the transaction of any business for this account and all related sub-accounts. The joint owners of this account, hereby agree with each other and said Credit Union that all sums now paid in on shares, or heretofore or hereafter, paid in on shares by any or all of said joint owners to their credit as such joint owners, with all accumulation thereon, are and shall be owned by them jointly, with right of survivorship and be subject to the withdrawal or receipt of any of them, and payment to any of them or the Survivor or Survivors shall be valid and discharge said Credit Union from any liability for such payment. In the event a check is drawn in payment of dividends earned by shares in this joint account, the joint owners of this account further agree that said Credit Union is authorized to draw the check to the order of the member/owner whose signature appears on this card. The right or authority of the Credit Union under this agreement shall not be changed or terminated by said owners, or any of them except by written notice to said Credit Union, which shall not affect transactions theretofore made.

Midwest Community Federal Credit Union Privacy Disclosure & Notice
Midwest Community Federal Credit Union is owned by its members and run by a board of directors elected by you. To assure the uninterrupted privacy and confidentiality of your personal financial information, your credit union has continually maintained strict practices regarding your financial privacy. You can be confident that your financial privacy is a top priority of this credit union. We are required by law to give you this privacy notice to explain how we collect, use, and safeguard your personal financial information. If you have any questions, please contact a member service representative at 1-419-783-6500.

Midwest Community Federal Credit Union collects nonpublic personal information about you from the following sources:

  • Information we receive from you on applications or other forms;
  • Information about your transactions with us or others; and
  • Information we receive from a consumer reporting agency.

We are committed to providing you with competitive products and services designed to meet your financial needs, which necessitates that we share information about you to complete your transactions and to provide you with certain financial opportunities. In order to do so, we have entered into agreements with other companies that provide either services to us or additional financial products for you to consider. These companies have been approved by the credit union’s board of directors.

We may disclose all of the information we collect as described above to other financial institutions with whom we have joint marketing agreements.

We may also disclose information we collect about you under other circumstances as permitted or required by law. These disclosures typically include information to process transactions on your behalf, conduct the operations of our credit union, follow your instructions, or protect the security of our financial records.

If you terminate your membership with Midwest Community Federal Credit Union, we will not share information we have collected about you, except as permitted by law.

Midwest Community Federal Credit Union restricts access to nonpublic personal information about you to those employees who have a specific business purpose for using it. Our employees are trained on the importance of maintaining confidentiality and member privacy.
We maintain physical, electronic, and procedural safeguards that comply with federal regulations and leading industry practices to safeguard
your nonpublic personal information.


I/We understand I/we will receive all product/service disclosures with or after my/our application is approved, and that some services require credit approval. I/We have read and agree to all terms and conditions on this application.

I Agree - If you agree with the above terms please type a "1" in the box to the left.