1 Contact Info 2 Applicant Information 3 Employment History 4 Customer Identification Questions 5 Account Details 6 Privacy Policy How can we contact you? Let's start with a little information about you. First Name * Required Middle Name Required Last Name * Required Email Address * Required Confirm Email Address * Required Address Line 1 * Required Address Line 2 City * Required State * Required Please select a state Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Northern Mariana Islands Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington U.S. Virgin Islands West Virginia Wisconsin Wyoming Zip * Required Date of Birth *Invalid Date Social Security Number *Required Phone Number *Required Applicant Information Please fill out the relevant questions Mailing Address; if different from Physical address Required Home Phone Number Required Work Phone Number Required Cell Phone Number * Required Driving License Number * Required Driving License State * Required Driving License Issue Date * Required Driving License Expiration Date * Required Other Form of ID if Used Required Foreign Citizen * Required Select Yes No Employment History Please fill in the relevant details Are you currently Employed * Required Select Yes No Are you currently Self Employed * Required Select Yes No Current Employer * Required Occupation * Required Retired * Required Select Yes No If Retired what was your Previous Occupation Required Customer Identification Questions Please Answer All Questions Fathers Middle Name? * Required What city were you born in? * Required What was your high school mascot? * Required What is the name of your first employer? * Required What is your Mothers Maiden name? * Required Account Details Please select from the following Options, Additional parties to the account require separate online account application and verification Account type * Required Select Frontier Checking Preferred Checking Five Star Checking Senior Select Checking HSA Checking Account Ownership * Required Select Individual Joint with Survivorship If Joint ,what is the name of the other applicant(s) Required Debit Card ? Required Select Yes No How would you like to receive your Debit Card Required Select Mail Order Branch Pick up Online Banking ? * Required Select Yes No E-Statements ? * Required Select Yes No Mobile Deposit ? * Required Select Yes No Check Order ? * Required Select Yes No Privacy Policy Please read and accept the privacy policy to continue. Accept Privacy Policy You're done! Thank you for completing your application! You can now begin signing your closing documents. Thank you for completing your application!Your financial institution is reviewing your application and will contact you for the next steps.You can now safely close your browser window or tab. Thank you for your submission! Your financial institution will contact you for the next steps.You can now safely close your browser window or tab. © Copyright 2024 Epic River Financial, Inc. All rights reserved. Version 23.4.3.17