Student Loan Survey

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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!

7Questions

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
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
3
Type of EmploymentSelect any that apply
Teacher
Public Servant
Unemployed
Disability
None of the above
4
How Urgent is Your Need?Select all that apply
Immediate
a few days
week or two
next month
several months
next year
5
Name* This field is required.
First Name
Last Name
6
Email* This field is required.
example@example.com
7
Phone Number
Area Code
Phone Number
Should be Empty:

Question Label

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