• Lifeline Fund Application Phase 2

    Education Debt Relief
  • PLEASE COMPLETE ALL RELEVANT FIELDS.

  •  - -
    Pick a Date
  •  -
  •  -
  • To complete this form later, you can click SAVE at the bottom of this page or anytime on subsequent pages. Otherwise click NEXT.

  • Include ALL EDUCATION LOANS

  • Note: Be sure to fill in "Initial Loan Amt." & "Projected Loan Payoff Date" for all loans.

  •  
  • Debt Obligations

  • INCLUDE ALL DEBT AS THAT INFORMATION IS USED TO DETERMINE THE AMOUNT OF YOUR AWARD.

  •  
  • Details to pay your EDUCATION DEBT—If more than one lender is to be paid, you must indicate how you want lender(s) paid (who gets what in what order).

  • Special notes: Include a ONE PAGE SUMMARY of the last 12 months of payments made

  • Browse Files
    Cancelof
  • Special notes:  Include a ONE-PAGE SUMMARY of the last 12 months of payments made

  • Browse Files
    Cancelof
  • Special notes:  Include a ONE-PAGE SUMMARY of the last 12 months of payments made

  • Browse Files
    Cancelof
  • Special notes:  Include a ONE-PAGE SUMMARY of the last 12 months of payments made

  • Browse Files
    Cancelof
  • Choose YES or NO for the following 5 questions:

  •  -
  • Browse Files
    Cancelof
  • You're done. Click SUBMIT.

    (you can also click the "Print Form" button to print your submission.)

  •  
  • Should be Empty: