| Origination Fee: |
$25.00 |
| Interest: |
3% |
| You are eligible to
apply if you meet the following criteria: |
| 1. Current enrollment |
| 2. Cumulative 2.0 GPA |
| 3. Current term tuition paid |
| 4. Account paid to
date (no past due charges on account) |
| 5. Demonstrated
financial need and means of repayment |
|
| If you do not
meet all criteria, your application will not be reviewed. |
|
Please complete
thoroughly, leaving no blank boxes.
Please allow 48-72 hours for loan approval.
Applications will NOT be processed on Tuesdays. |
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Local Address
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Phone |
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Complete address
including city, state, zip code |
Include area code
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Permanent Address
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Phone
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Complete address
including city, state, zip code |
Include area code
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E-mail Address
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Cell
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Include area code
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Parent/Relative Name
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Phone
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Include area code
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Address
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Complete address
including city, state, zip code |
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Loan Amount Requested
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Purpose
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| Describe in detail your plan
to repay this loan within 6 weeks. (employment,
parental support, financial aid, Veteran's/Social Security
benefits) |
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______________________________________________________________________________________ |
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______________________________________________________________________________________
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______________________________________________________________________________________
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Initial here: |
_________ |
I am responsible to repay this loan even if I do not attend
classes. |
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I certify the above information is correct, and I understand the
obligation of repayment by the deadline. |
|
Signature |
______________________________________________________ |
Date |
_____________________
|
This
form must be printed, signed, and returned to the Bursar's Office in
person, by mail or by fax.
NAU Office of the Bursar
P O Box 4079 Flagstaff, AZ 86011
Phone (928) 523-3122 Fax (928)
523-1126
NAU
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