Loan Application Form

Student Loan Application Form
Applicant Information
Title:
Name

First NameLast Name
Social Security No.
Birth Date

MonthDayYear
E-mail
Phone

Area CodePhone Number
Address

Street Address / Apt, Suite, Unit, Space #, etc.

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own or rent the listed location?

Other
How long have you lived at the above address?
List Years and Months
Employment Information
Present Employer
Occupation
Salary
Gross pay, before deductions
Supervisor
Name of the person you report to
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employed from:

MonthDayYear
Starting date
Employed to:

MonthDayYear
Enter today's date if still there
Monthly Income
Monthly Salary
Take Home
Other Income
Total Combined
Total Income
Total of All Monthly Income
Monthly Expenses

If none, enter 0
Total Monthly Loan(s) Payment(s)
Ex. Car loan, Student loan, Personal loan, etc.
Credit Cards
Total of All Monthly Payments Only - NOT BALANCES
Mortgage/Rent
Monthly
Bills
Utilities, Insurance, Etc.
Other Debts
All Others
Total Expenses
Total of All Monthly Expenses
Bank Information
Institution
Bank, Credit Union, Savings and Loan
Type of accounts you hold (check all that apply)

Other
Have you ever filed for bankruptcy?
Have you ever missed a credit card or loan payment?
If you answered "Yes" above, please explain:
Co-Signer/Co-Borrower
Will you be adding a Co-Signer/Co-Borrower?
Name

First NameLast Name
Social Security No.
Birth Date

MonthDayYear
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Signer/Co-Borrower Employment Information
Present Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Salary
Gross pay, before deductions
Supervisor
Phone Number

Area CodePhone Number
Employed from:

MonthDayYear
Date
Employed to:

MonthDayYear
Date
I certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this loan application to release necessary information to Welding Certification Center in order to verify the informationcontained herein.
Authorization to Obtain Consumer Credit Report
I authorize Welding Certification Center (“WCC”) to obtain a consumer credit report on me. WCC will use the consumer credit report to confirm my residency and determine whether my credit is eligible to support a student loan. Upon request, WCC will provide me with thename and address of the Consumer Reporting Agency contacted to supply thereport. I understand that credit inquiries have the potential to impact mycredit score. I hereby release WCC, including its employees, agents orrepresentatives from any and all liability for furnishing such information. I also release WCC from any and all liability for conducting such an investigation. A photocopy, scan or facsimile copy of this Authorization and Release will be treated as though it were the original.
Terms of Acceptance and Signatures
Applicant
I, the applicant for this Student Loan Application, warrant the truthfulness of the information provided in this application.
Electronic Signature

First NameLast Name
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message from Welding Certification Center. Message frequency may vary. Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.
Co-Signer/Co-Borrower
I, the Co-Signer/Co-Borrower for this Student Loan Application, warrant the truthfulness of the information provided in this application.
Electronic Signature

First NameLast Name
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Should be Empty:

Student Loan Application Form

Applicant Information

Employment Information

Monthly Income

Monthly Expenses

Bank Information

Co-Signer/Co-Borrower

Co-Signer/Co-Borrower Employment Information

Authorization to Obtain Consumer Credit Report

Terms of Acceptance and Signatures