WELLNESS

Credit Check Plus

With our Credit Check Plus program, you can get personalized, one-on-one assistance with improving your credit score. Your credit score determines so much--whether or not you can get a loan, a car, a credit card, etc. It's important that your score be high. We can help you improve your credit so that you have the best financial options and health in the long term. Simply fill in the form below and submit, and we'll contact you to begin the process!
Credit Check Plus

Please complete this form to begin your credit check and financial assessment. All information is kept confidential.
Full Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Preferred Language*

EnglishSpanishVietnamese
Number of Dependents*
Monthly Cost of Housing (USD)*
Gross Monthly Income (USD)*
Last 4 digits of Social Security Number*
I agree to a credit check (initial below).*

I agree to a credit check (initial below).
Are you currently a member of HRCU?*

YesNo
Do you split your bills with anyone else?*

YesNo
What are your biggest goals?*
What is causing you the most financial stress right now?*
Referred by / Referral Code
Should be Empty: