You can always press Enter⏎ to continue
survey
Welcome
As much as we want to – we can’t help everyone. Please fill out this quick survey to see if you will qualify for one of the forgiveness programs. We will let you know immediately if we can help you!
7
Questions
START
1
Status of Student Loan?
*
This field is required.
Current status. Select all that apply
Standard Plan
Default
Income Based Plan (IBR)
Not sure
Parent Plus Loan
Previous
Next
Submit
Press
Enter
2
Amount of Federal Student Loan Debt?
*
This field is required.
Select amount that applies
Under $5,000.00
$5,000.00 - $9,999.00
$10,000.00 - $19,999.99
$20,000.00 - $49,999.99
$50,000.00 - $99,999.00
Over $100,000.00
Under $5,000.00
$5,000.00 - $9,999.00
$10,000.00 - $19,999.99
$20,000.00 - $49,999.99
$50,000.00 - $99,999.00
Over $100,000.00
Previous
Next
Submit
Press
Enter
3
Type of Employment
Select any that apply
Teacher
Public Servant
Unemployed
Disability
None of the above
Previous
Next
Submit
Press
Enter
4
How Urgent is Your Need?
Select all that apply
Immediate
a few days
week or two
next month
several months
next year
Previous
Next
Submit
Press
Enter
5
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
6
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
7
Phone Number
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
7
See All
Go Back
Submit