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New Membership Application

This online application will initiate the process for opening a consumer account. Please talk with a business advisor if you are interested in a business account. To apply for a youth account online, you will also need an adult on the account. This application will timeout after 3 hours if left idle.

To apply for membership and a loan, apply here.

* = Required field  
Basic Information
Type of Ownership*  
All co-applicants must be removed when selecting 'Individual' type of ownership.
Remove co-applicant(s)?*Yes   No
Preferred Contact Method
Contact Email*  
Contact Mobile Phone*   (xxx-xxx-xxxx)
Contact Home Phone*   (xxx-xxx-xxxx)
Contact Work Phone* ext.   (xxx-xxx-xxxx)
Preferred Branch/Employee*
Employee Name*
Promo Code (if any)
Most people are eligible for membership. Simply answer the following question(s) to see if you qualify.
Question #1
Do you (OR a family member) live, work in, worship in, or get paid from one of these counties in Kansas?*
If so, choose only one
Question #2
Do you have a family member who is a member with us?*
If so, select how related
Question #3
Are you (OR a family member) an employee of, patron of, or retiree of any of the following entities?*
If so, choose only one
Question #4
Are you, (OR a family member) working in or are you/they retired from one of the following occupations?*
If so, choose only one
It looks like you've gotten all the way through our questioning without answering "yes".  However, all is not lost.  Please give our Phone Center a call at 800.428.8472, and ask for our Membership Officer.  It's important that we exhaust all possible means to qualify you to be a member, if you want to become one.
Congratulations!  You qualify to be a member of Heartland Credit Union.

The US Patriot Act requires financial institutions to obtain information from an individual or legal entity to help prevent fraud, identity theft and the spread of terrorism. Your cooperation is needed when you open a new account or request a loan because you may be asked more questions to establish and confirm your identity. You may also be required to provide us with one or more forms of identification.