SEG Academic Partner Application

Our Academic Partners include local schools and universities. Academic Partners must have at least three employees or students and operate within a 25-mile radius of an Ascend facility.

Institution Name

Mailing Address

City

State

Zip Code

Physical Address

If different from your mailing address.

Main Phone

Website

Number of Employees

If more than 3,000, please contact us for additional instructions.

Number of Students

If more than 3,000, please contact us for additional instructions.

Nearest Ascend Financial Center

Distance From Your Institution

Must be within a 25-mile radius of an Ascend branch.

Is your institution in the field of membership of another credit union?

YesNo

Which Credit Union?

President/Director of School(s)

Human Resources Manager

Benefits Coordinator

Phone Number

Signature of Authorized Representative

First Name

Last Name

Position/Title

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