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Champion Credit Union Member Relief grants are awarded to provide cash for temporary emergency expenses for Champion Credit Union members who suffer financial hardship in cases of natural or man-made disasters, including floods, hurricanes, tornadoes, earthquakes, landslides, fires, drought, or civil disturbances.
NOTE: Members whose homes and/or real and personal property suffer severe damage due to disasters and are experiencing financial hardship are eligible for grant assistance. Members must provide evidence of severe damage (e.g., pictures, insurance damage assessments, etc.) and a statement describing their severe damage and resulting financial hardship. Any disbursement shall only be made to existing CCU members at the time of the disaster. Disbursements shall be granted for immediate housing, food, medical supplies and services, clothing, and other similar disaster relief. The maximum amount of any grant shall be $2,000 for any single disaster occurrence. Multiple awards to CCU members residing in the same household exceeding the above-mentioned dollar limitations shall not be granted. For example, if both the husband and wife are CCU members at the time of the disaster, they are only collectively eligible to receive one grant of up to $2,000 for a single disaster occurrence. Grants may take up to 5 business days to process by the Carolinas Credit Union Foundation, the administrator of the Champion Credit Union Member Relief Fund. Notification on the application status will be provided by the Carolinas Credit Union Foundation via email with funds disbursed to your Champion Credit Union account within 24 hours of your grant’s approval. A grant is not taxable income.
PERSONAL INFORMATION
Name
(Required)
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
(Required)
Alternate Phone
(Required)
Email
(Required)
Are you an employee of Champion Credit Union?
(Required)
Yes
No
DESCRIPTION OF SEVERE DAMAGE AND FINANCIAL HARDSHIP
(Required)
Total dollar amount of expenses not covered by insurance/FEMA/or other outside assistance:
(Required)
Amount of Grant Requested:
(Required)
Account balances to demonstrate financial hardship:
Checking: $
(Required)
Savings: $
(Required)
Annual household income: $
(Required)
Number of individuals in your household:
Number of adults:
Number of children:
* Please upload supporting documentation (e.g. pictures, insurance damage assessments, etc.). Multiple attachments can be submitted:
Drop files here or
Select files
Max. file size: 256 MB.
Please upload a photo of your driver’s license for membership verification purposes (this is required for your grant’s consideration).
Max. file size: 50 MB.