2018-19 Loan Request Form

This form must be submitted to initiate the funding process.

Loan Requirements

  • You may borrow up to $10,000 per fiscal year to a cumulative total of $30,000 over five years.
  • You may borrow any amount (rounded to the nearest $100) up to $10,000 in a single year. It is recommended to request the full $10,000.
  • Once your loan request has been processed, the amount cannot be increased; however, you need not borrow the entire amount initially requested.
  • Funds will be disbursed according to your academic calendar:
    • 2 installments for semester calendar
    • 3 installments for quarter calendar

It is your responsibility to submit the Student Enrollment Verification Form (SEVF) (.pdf) form each semester or quarter for subsequent disbursements.

The deadline for submitting the Loan Request Form has passed.

2018-2019 Loan Request Form
Doctoral Institution
 
Discipline

I hereby request a loan amount of for the 2018-2019 fiscal year.

Doctoral institution Academic Calendar
 
Borrower First Name
 
Borrower Last Name
 
Address
 
City
 
State
 
Zip
 
Home Phone
 
Daytime Phone