Loan Application

Hello! Thank you for your interest in the Hughey Trust Loan!

A few things to note before you begin the application....

The application requires information from the Borrower (you), 2 co-signers (usually parent(s)), a contact person (usually a grandparent/aunt/uncle/close family friend), and 2 references
- For the Borrower, Co-signers and contact person will you need the following information: Name, Address, Phone Number, Email, Social Security Number.
- In addition to the info above you will also need a picture of the FRONT AND BACK of your driver's license as well as your co-signers. (We do not need for contact person)
- You are required to upload your most recent transcript (high school or college)
- You are required to provide the following from your 2 references: Name, Address, Phone Number and Email as well as a letter from each reference.
TWO Co-Signers are required to apply for the Hughey Trust Loan. IF you have circumstances that don't allow two parents to apply, please email hugheytrustloan@gmail.com or text 740-239-3072.

You and your Co-Signers will need to sign this application digitally.

To be eligible for the Hughey Trust Loan you must be pursuing a degree in a medical or related field. You must also reside in Fayette County or a county that boarders Fayette County. If you have questions about what fields of study are applicable, please email us at hugheytrustloan@gmail.com

This is a LOAN, required to be paid back post graduation.

Applications are due no later than May 15th.

You will be notified late June if you have received a loan. If you do receive a loan you will be required to schedule an appointment to sign your promissory note and receive your check.
Loan Application
Amount Requested:
Borrower's Full Legal Name:

First NameMiddle NameLast Name
Borrower's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Borrower's Phone Number
Format: (000) 000-0000.
Borrower's Email
Borrower's County of Birth
County
Borrower's Birth Date

MonthDayYear
Date
Borrower's Social Security Number
Borrower's FRONT Driver's License

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Borrower's BACK Driver's License

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Co-Signer #1 Full Legal Name:

First NameMiddle NameLast Name
Co-Signer # 1 Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Signer #1 Phone Number
Format: (000) 000-0000.
Co-Signer #1 Email
Co-Signer #1 Relationship to Borrower
Co-Signer #1 Occupation
Co-Signer #1 Social Security Number
Co-Signer #1 FRONT Driver's License

Cancelof
Co-Signer #1 BACK Driver's License

Cancelof
TWO Co-Signers are required to apply for the Hughey Trust Loan. IF you have circumstances that don't allow two parents to apply, please email hugheytrustloan@gmail.com or text 740-239-3072.
Co-Signer #2 Full Legal Name:

First NameMiddle NameLast Name
Co-Signer #2 Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Signer #2 Phone Number
Format: (000) 000-0000.
Co-Signer #2 Email
Co-Signer #2 Relationship to Borrower
Co-Signer #2 Occupation
Co-Signer #2 Social Security Number
Co-Signer #2 FRONT Driver's License

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Co-Signer #2 BACK Driver's License

Cancelof
You will be required to provide an additional contact person on your promissory note. This person should be someone other than your co-signers. Most applications use a grandparent, aunt/uncle or close family friend. Think of someone that would know your whereabouts!
Name

First NameLast Name
Relationship to Borrower
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Person Social Security Number
Applicant's Estimated Annual Income:
Co-Signer #1 Annual Income:
Co-Signer #2 Annual Income:
Co-Signers Combined Approximate Net Worth (Assets minus Debts)
Please list names & ages of siblings
High School Attended
Graduation Date

MonthDayYear
Date
Please upload high school or most recent college transcript

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High School GPA
Please list all extra curricular activities:
College, University, or Other Educational Institution you plan to attend. Please also list city and state of campus.
Major or Field of Study you intend to pursue
If you are presently in college or completing post graduate work, please answer the following:
School Attending
Projected Graduation Date

MonthDayYear
Date
Degree
Cumulative GPA
Please list any extra curricular activities
If you have completed undergrad, please list the college attended
Date of Undergrad Graduation

MonthDayYear
Date
Please tell us about any work experience you have.
Could you pursue your course of study without financial aid from the Hughey Trust?
Have you applied for financial aid elsewhere?
Has your financial aid application been granted?
Purpose for which you are requesting financial aid from the Hughey Trust?
What are your goals upon graduation?
Signatures
We certify that we have submitted the information contained in the foregoing application for financial aid from the Dr. R.M. and Lona G. Hughey Trust and the same is true and correct. Borrower and co-signers acknowledge that they are fully aware that a Hughey Trust Loan Application has been submitted with their permission.
Borrower Signature
Co-Signer #1 Signature
Co-Signer #2 Signature
Date

MonthDayYear
Date
Please use 2 references who are not family members. This may include a guidance counselor, teacher, employer, activity advisor, etc.
Reference Person #1

First NameLast Name
Relationship/Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
Reference Letter #1

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Reference Person #2

First NameLast Name
Relationship/Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
Reference Letter #2

Cancelof
Should be Empty:

Loan Application

If you are presently in college or completing post graduate work, please answer the following:

Signatures