Student Loan Application Form

Student Loan Application Form
According to B.C. law, HFLA can only offer loans to people over the age of 19. As such, if a student is not yet 19, the parent/guardian will need to make the application.
Please select what type of applicant you are: *

I am the parent of a student under the age of 19 I am a student over the age of 19
How much would you like to borrow? *
This loan program typically requires that you have one Jewish guarantor (someone who agrees to repay your loan if you cannot). Do you have someone from British Columbia willing to serve in this role? *

Yes No
This loan request typically requires that you have two guarantors (people who agree to repay your loan if you cannot). Do you have two people from British Columbia willing to serve in this role? Please note that one of the two guarantors needs to be Jewish. *

Yes No
HFLA is piloting a new program called ACCESS which is specifically designed to assist students from low to moderate income homes. This loan program will have relaxed loan application/guarantor requirements with the goal of providing young Jewish students greater access to a post-secondary education.

In order to qualify, your combined family income must fall within these ranges:
- If your family has 2 members in it, the income threshold to be considered for this pilot program is $55,000
- If your family has 3 members in it, the income threshold to be considered for this pilot program is 3 $60,000
- If your family has 4 members in it, the income threshold to be considered for this pilot program is $82,000
- If your family has 5 or more members in it, the income threshold to be considered for this pilot program is $90,000
If you are financially independent from your parents, the income threshold to be considered for this program is $32,000

Note: HFLA will be awarding two loans as part of the ACCESS pilot program in 2021. Applicants studying in British Columbia will be given priority consideration for this pilot program.
Would you liked to be considered for the ACCESS pilot program? Note that if you do not qualify for the pilot program, you will still be considered for a traditional loan. *

Yes No
If you do not wish to be considered for the ACCESS program, you will need to provide guarantors to be considered for an HFLA loan.

Applicant Information
Loan Applicant's Name: *

First Name Last Name
Email Address: *
example@example.com
Cell Phone Number: *
Please enter a valid phone number.
Alternate Phone Number:
Please enter a valid phone number.
Date of Birth: *

Month Day Year
Are you Jewish? *
You must be Jewish to apply for an HFLA loan
Please describe your involvement in the Jewish community: *
What is your citizenship status? *
What country/region were you born in? *
If applicable, what year did you arrive in Canada?
Have you ever applied for an HFLA loan before? *
Have you ever served as a guarantor on an HFLA loan before? *
How did you hear about HFLA? *
Family Questions
What is your martial status? *
What is your spouse/partner's name? *

First Name Last Name
What is your spouse/partner's date of birth? *

Month Day Year
What is your spouse/partner's citizenship status? *
Has your spouse/partner ever had an HFLA loan? *
Is your spouse/partner aware that you are applying for this loan? *

Yes No
How many financially dependent children do you have? *
Housing Questions
Home Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you own or rent this home *
What year was this home purchased? *
What was the original purchase price of this home? *
What is the current value of this home? *
How much is owed on this home? *
Total equity in this home: *
Financial Questions

Please complete the following ASSET chart for both yourself and your spouse/ partner. If a question is not applicable to you, please input the number "0". *

Applicant

Spouse

Bank Balance

RRSP's

GIC's

Other Investments

Total

Total combined non-residential assets: *

Please complete the following LIABILITY chart for both yourself and your spouse/partner. If a question is not applicable to you, please input the number "0". *

Applicant

Spouse

Personal Loans

Student Loans

Outstanding Line of Credit

Credit Card Debt

Other Debts

Total

Total combined non-residential liabilities: *
Have you ever had a loan or financial obligation sent to collections? *

Yes No
Have you ever declared bankruptcy? *

Yes No
Total Residential + Non Residential Assets *
Total Residential + Non Residential Liabilities *
Net Worth *
Employment Questions

Please complete the following Employment chart for both yourself and your spouse/partner. If a question is not applicable, please input the word "N/A". *

Applicant

Spouse

Job Title

Name of employer

Years at this job

Gross Annual Income

Please complete the following MONTHLY income chart for both yourself and your spouse/partner. If a question is not applicable to you, please input the number "0" *

Applicant

Spouse

Net Monthly employment income*

Monthly Canada Child Benefit (CCB) Income

Monthly Income from government programs (E.I., CRB, Income Assistance, PWD Assistance etc)

Monthly Income from pensions, Old Age Security (OAS) and Guaranteed Income Supplement (GIS)

Monthly Income from any other sources

Total

*NET income is the amount you earn after tax and deductions. It is the amount that you receive in your bank account or on your pay cheque.
Total combined monthly net income: *
Monthly Expense Questions

Please complete the following MONTHLY expense chart for your family. If a question is not applicable to you, please input the number "0" *

Monthly Cost

Monthly Rent or Mortgage Payment

Monthly Property Tax Payment

Monthly Strata/Maintenance Payment

Monthly Car Payment(s)

Monthly Cost of Auto Insurance

Monthly Cost of Car Gas

Monthly Cost of Public Transportation

Monthly Cost of Extended Medical Coverage

Monthly Cost of Utilities (heat & hydro)

Monthly Cost of TV, Phone(s) and Internet

Monthly Cost of Food

Monthly Cost of Clothing & Personal Care Items

Monthly Cost of Childcare or Day School Tuition

Monthly Cost of University Tuition

Monthly Costs of Loan/Debt Payments

Monthly Cost of Other Expenses

Total

Total Combined Monthly Expenses *
Monthly Income - Monthly Expenses = *
Guarantor Information
A guarantor is someone who agrees to be responsible for the debt of a borrower should they default on their loan payments.

Guarantors must reside in British Columbia and be at least 19 years old. Guarantors cannot be married to you or to your other guarantor.
Please provide the name and contact information of your Jewish guarantor here:

First Name Last Name
Jewish Guarantor's Phone Number
Please enter a valid phone number.
What is your relationship to your Jewish guarantor?
A second guarantor is required for loans over $5,000. If you are requesting more than $5,000, please list a second guarantor here:
Please provide the name and contact information of your 2nd guarantor here:

First Name Last Name
2nd Guarantor's Phone Number
Please enter a valid phone number.
What is your relationship to your 2nd guarantor?
Please ensure that you have spoken with your guarantors to request that they serve as your guarantor BEFORE you submit their names. We will call them upon receipt of your application to ensure that they qualify and are willing to serve in this capacity.
Reference Information
In leu of submitting a guarantor, please submit the name of a character reference we can contact from the organized Jewish community. This can be a teacher or administrator from a Jewish day or suplementary school, your Rabbi, a youth group leader, a case worker from Jewish Family Services or Tikvah Housing or anyone else from a Jewish organization that can speak to your character.

Please make sure to reach out to this person after submitting this application so that they expect our call.
Reference's Name *

First Name Last Name
Which Jewish organization is this reference from? *
Reference's Phone Number: *
Please enter a valid phone number.
Reference's Email *
example@example.com
Post-Secondary Information
What is the name of your child? *

First Name Last Name
What is their date of birth? *

Month Day Year
Date
What Post-Secondary institution are you/your child attending? *
What are you/they studying? *
How many years long is this program? *
Is this a full time program? *
Acknowledgment and Declaration
I,First Name Last Name, declare that the information provided in this application is true and correct.

I acknowledge and agree that the personal information collected from me may be disclosed to the employees and volunteers involved in the loan decision process, to persons retained by HFLA to administer the loan, the the guarantor(s) listed above and to the other persons deemed necessary by HFLA for the provision or enforcement of the loan.
Signature

Clear
Date *

Month Day Year
Date
Should be Empty:

Student Loan Application Form

Applicant Information

Family Questions

Housing Questions

Financial Questions

Employment Questions

Monthly Expense Questions

Guarantor Information

Reference Information

Post-Secondary Information

Acknowledgment and Declaration