CIF Designation Form

Step 1 of 2

To successfully participate in CIF with NCB, you must complete the following CIF Designation Form and the NCB Deposit Account Application Form. Complete one designation form for each fund option you select, and a corresponding deposit application.

Contact Name*   
Contact Title   
Credit Union or Business Name*   
President/CEO Name*   
President/CEO Email*   
Asset Size of Credit Union or Business(ex: 100000, whole numbers only, no symbols)  
Credit Union NCUA Number(ex: 123456789, whole numbers only, no symbols)  
Phone*(ex: 1234567890, whole numbers only, no symbols)  
Fax(ex: 1234567890, whole numbers only, no symbols)  
How did you come to make the CIF deposit with NCB?*   
Initial Amount of Deposit, $10,000 minimum*(ex: 10000; whole numbers only, no symbols)   
Donation Amount: How much of the investment earnings on the deposit account would you like to donate to CIF to support the foundation’s national and state programs?  
Fund Options: The CIF has five options available for you to designate your investment which include: 1) General Fund; 2) CU Development Education Fund; 3) International Development Fund; 4) African American Credit Union Coalition; 5) Callahan Legacy Fund. To which fund do you want to designate your investment?   




Thank you for completing step 1 of 2 of CIF with NCB.