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Technology and Capital Improvements Grant Application
Credit Union Name
Credit Union Mailing Address
State / Province / Region
ZIP / Postal Code
CEO Phone Number
Number of employees (full-time and part-time)
Please find your most recent Financial Performance Report (FPR) on NCUA’s website at: http://fpr.ncua.gov/ Choose the option to view a 2-page FPR summary. Input your CU’s charter number and select Ratio Analysis. In the worksheet below, you will provide the ratios taken from your online FPR. Please use the most recent quarter’s information from the report to compete the following ratios.
Net Worth / Total Assets
Delinquent Loans / Total Loans
Net Charge-Offs / Average Loans
Return on Average Assets
Cost of Funds / Avg. Assets
Provision for Loan & Lease Losses / Avg. Assets
Net Operating Exp. / Avg. Assets
Total Loans / Total Assets
Technology or Security Upgrades
Purpose of grant:
Total project budget
What is the proposed timeline for the project and anticipated completion date?
Do you plan to move forward with this project if you do not receive the total amount requested?
Please summarize why your credit union is requesting this grant and how this grant will benefit your credit union and/or the community?
Please provide a budget breakdown listing anticipated expenditures and total cost of the project. Also, include all other sources of income (in-kind contributions, volunteer hours donated, etc.).
You may upload supporting documentation to submit with your grant request. Multiple attachments will be accepted.
Drop files here or
Max. file size: 50 MB.
Please note that grant recipients will be required to submit a letter to the Foundation 60 days following the completion of the project outlining how the grant funds were allocated. The Foundation reserves the right to withhold future grant funds in the event the funds are misused.