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Founded in 1933, California Credit Union is a not-for-profit, cooperative financial institution. Since being chartered more than 75 years ago by a small group of Los Angeles teachers, the education community has built California Credit Union into a billion-dollar federally insured financial institution.

 

CCU serves nearly 80,000 members and has 10 convenient branch locations throughout Los Angeles County.

 

We also give back to the educational community through support of such activities as the Academic Decathlon, Teacher of the Year award, annual LAUSD Superintendent's Meeting, and sponsoring meetings, conferences, and initiatives that benefit schools.

 

Nomination Form

For The Person You Are Nominating

Please provide as much information as possible.

All information is kept extremely confidential.

First Name
Last Name
Address
City
State
ZIP
Phone

Neighborhood

Area

Owner Birthdate:
Are you disabled?

Yes          No

Homeowner Story:

(Share with us any disabilities, illnesses, or conditions, Share as much as possible!)

Names of other Household Members:
Name      Age  
Name      Age  
Name      Age  
Name      Age  
How many children (17 years of age and under) are living in your home? 

How many people living in your home are able to help paint (if any)?

Are you currently employed?

   Yes          No

Where are you currently employed?

Sources of Monthly Income

(All information is kept confidential)

Social Security
SSI
Retirement
Interest Income
Public Assistance
Unemployment
Job
Other
Total Income Per Month

How did you hear

about United We Paint?

Information On Your Home

(Please provide as much information as possible)

Do you own your home?
Is this home your primary residence?
Age of Home? (years)
How long have you owned your home?
How much do you estimate your home is valued today?
Do you have a mortgage on your home?

If Yes, How much do you owe on your home?

When was your home last painted?

Your house is:

 

1 - Story

2 - Story

Mobile Home

Square footage of home?

Constructed of:

 

Wood Frame

Stucco

Brick

Other

Is there siding on your home?

Are there any external repairs needed prior to painting?

 

Yes          No

IF yes, what repairs?

Only minor repairs can be made by volunteers and will be determined by United We Paint.

Your Information

(If Different Than Above)

First Name
Last Name
Address
City
State
Home Phone
Work Phone
Email
Relationship To Homeowner

Community Partner

 

 

 

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