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Technology Credit Union is among the top 1% of the nation’s largest credit unions with ten full service branches in the Silicon Valley.

 

With more than $1 billion in assets and still growing, Tech CU is a financial leader in the Silicon Valley.

 

The credit union that would become Tech CU started back in 1960.

Find out more about Tech CU's history.

 

NEWARK 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

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