The Massillon Educational Loan Foundation Application

The Massillon Educational Loan Foundation Application
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Birthdate*

MonthDayYear
Date
Social Security Number*
Parent/Guardian*
Father’s Occupation
Yearly Salary
Mother’s Occupation
Yearly Salary
If parents are divorced, please describe who is responsible for your education and if this has been denoted by a court divorce decree:
Number of siblings living with parents*
Ages of siblings and note if in college
Any unusual expenses/circumstances that may affect/have adversely affected the expected contribution?
Has another family member ever applied for a loan from this foundation?*

YesNo
Please list each full name and years in which loans were secured
Applicant’s Employment/Volunteer History
Employment History
Volunteer History
Applicant’s High School*
Graduation Date*

MonthDayYear
Date
Extracurricular Activities in which applicant participated and any leadership positions held within these activities
The most recent grade transcript*

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Post-Secondary
What institution of higher learning does the applicant plan to attend?*
For applicants attending college/university for the first time, a copy of acceptance letter from college/university.

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What is applicant’s intended course of study?*
What is applicant’s grade level for upcoming school year?*
Expected date of university/college graduation?*

MonthDayYear
Date
Applicant, please state briefly what goals you have set for yourself and how the loan will help meet the stated goals*
Upcoming Fall Course Schedule

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Letter of recommendation:*

One letter of recommendation is required for your application. These do not need to be specifically written to our organization. We are looking at character traits.
Letter of recommendation:

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Financial Background
Attach the SAR (student aid report) form which includes the EFC (Expected Family Contribution)*

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This section must be fully completed. We realize you may not have final numbers, however, please give us your best estimate. Please keep in mind that your anticipated expenses should equal your anticipated funds. (The column A total must equal the column B total)

Itemized Anticipated Expenses*

	A
Tuition/Fees
Books
Room/Board
Travel
Personal Expenses
Other
Total Expense (A)

Itemized Anticipated Funds*

	B
Family
MELF Loan
Other Loans
Grants/Scholarships
Work
Other
Total Funds (B)

State in full detail any facts and circumstances, not previously mentioned, which demonstrate the need for financial assistance.
On the basis of the information set forth in this application which we represent to be true, we respectfully request that a loan be granted to us for the current school year. We agree to repay our loan with interest in accordance with the provision contained in the Promissory Note we will sign to evident our loan. We agree to update the Massillon Educational Loan Foundation (MELF) with changes in personal information including an active address, telephone number, and email contact for the life of the loan. We further agree to notify MELF immediately should the borrower drop below full time status or withdraw from school. We authorize MELF to obtain a consumer credit report as may be necessary. We also acknowledge that fees may be incurred and reports may be made to a consumer credit bureau if this account is ever more than 90 days delinquent.
I respectfully petition that financial aid be granted to me for the purposes of completing my education at an institution of higher learning beginning*

MonthDayYear
Date
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Date*

MonthDayYear
Date
Signature of Loan Borrower*

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Date*

MonthDayYear
Date
Co-Signer Signature*

Clear
Date

MonthDayYear
Date
Co-Signer Signature

Clear
Co-Signer #1 Name

First NameLast Name
Co-Signer #1 Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Co-Signer #1 Employer
Co-Signer #1 Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Co-Signer #2 Name

First NameLast Name
Co-Signer #2 Email
example@example.com
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Co-Signer #2 Employer
Co-Signer #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty:

The Massillon Educational Loan Foundation Application

Applicant’s Employment/Volunteer History

Post-Secondary

Letter of recommendation:*

Financial Background

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