Lifepoint College
STUDENT LOAN APPLICATION FORM
Contact Information
Name of Loan Applicant
*
Title
First Name
Last Name
Birth Date
*
Please select a month
January
February
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Month
Please select a day
1
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Day
Please select a year
2025
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Year
Marital Status:
*
Single
Married
E-mail
*
example@example.com
Phone
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Student (If different than above)
Title
First Name
Last Name
Employment Information
Present Employer
*
First Name
Last Name
Occupation
*
Gross monthly income
*
Comments
Student Discount
Student Discounts will affect loan terms and interest rates.
Are you eligible for a student discount?
*
Please Select
Yes
No
Other...
If you have applied for a scholarship or tuition assistance please select "Yes".
If yes, please explain.
*
Please Select
Ronnie M. Floyd Memorial Scholarship
President's Scholarship
Tuition Assistance (any amount)
Staff Discount
Staff Child Discount
If other, please explain.
*
Loan Options
Are you applying to refinance a current loan or for a new student loan?
*
Please Select
Refinance
New Student Loan
If you are refinancing your current loan, you will receive a new interest rate.
What Lifepoint College program are you currently in?
*
Please Select
Associates + Housing
Associates (Tuition Only)
Biblical Leadership Certificate
Biblical Studies Certificate
Other...
What is your current loan amount?
*
Please provide total as well as monthly payment.
What stage of your program are you currently in?
*
Please Select
Semester 1, Year 1
Semester 2, Year 1
Semester 1, Year 2
Semester 2, Year 2
If applying during summer, select semester 1 of your academic year.
Are you applying for a loan for the remainder of your program?
*
Please Select
Yes
No
If no, please explain.
*
Please provide why, as well as the amount you are applying for.
Are you applying for this loan to cover part of your balance or the entire amount?
*
Please Select
Yes, I'm applying for the whole amount
No, I'm only applying for part of the amount
If you are applying for only one year of your program, please select no.
What amount are you applying for?
*
What Lifepoint College program are you enrolled in for this loan?
*
Please Select
Associates + Housing
Associates (Tuition Only)
Biblical Leadership Certificate
Biblical Studies Certificate
Other...
If other, please explain.
*
Choose the loan option that you would like to apply for. (Associates + Housing)
*
Please Select
Loan Amount: $34,000 // Term: 24 months // Rate: 0.5% APR // Payment: $1,424.06/mo
Loan Amount: $34,000 // Term: 36 months // Rate: 2% APR // Payment: $976.42/mo
Loan Amount: $34,000 // Term 48 months // Rate: 4% APR // Payment: $769.61/mo
These amounts are for the full 2 years of the program selected.
Choose the loan option that you would like to apply for. (Associates:Tuition Only)
*
Please Select
Loan Amount: $27,200 // Term: 24 months // Rate: 0.5% APR // Payment: $1,137.61/mo
Loan Amount: $27,200 // Term: 36 months // Rate: 2% APR // Payment: $780.47/mo
Loan Amount: $27,200 // Term 48 months // Rate: 4% APR // Payment: $615.34/mo
These amounts are for the full 2 years of the program selected.
Choose the loan option that you would like to apply for. (Biblical Leadership Certificate)
*
Please Select
Loan Amount: $3,400 // Term: 24 months // Rate: 0.5% APR // Payment: $142.14/mo
Loan Amount: $3,400 // Term: 36 months // Rate: 2% APR // Payment: $97.38/mo
Loan Amount: $3,400 // Term 48 months // Rate: 4% APR // Payment: $76.96/mo
These amounts are for the full 2 years of the program selected.
Choose the loan option that you would like to apply for. (Biblical Studies Certificate)
*
Please Select
Loan Amount: $2,100 // Term: 24 months // Rate: 0.5% APR // Payment: $87.75/mo
Loan Amount: $2,100 // Term: 36 months // Rate: 2% APR // Payment: $60.30/mo
Loan Amount: $2,100 // Term 48 months // Rate: 4% APR // Payment: $47.55/mo
These amounts are for the full 2 years of the program selected.
If other, what loan amount are you applying for?
*
Please give a dollar amount and note that the interest rate is subject to change.
Consent
If approved for this application, I understand that my loan will be underwritten and financed by Lifepoint Holdings, LLC, a third-party company, and that Lifepoint College is not responsible for or a party to any decisions pertaining to this loan. Furthermore, I agree to repay this loan in its entirety as scheduled per the loan agreement. I understand that failure on my part to make my scheduled payments on time may result in additional late fees and/or this debt being turned over to a third-party collection agency.
*
YES
I confirm that I am applying for this loan for the purpose of myself, or the student listed in this application, attending Lifepoint College. I acknowledge that if my loan is approved, the status of this loan is contingent upon the student remaining in good academic status with Lifepoint College and that failure to do so may result in this loan becoming due in its entirety upon dismissal from the school.
*
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission.
*
YES
Send Application Now
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