Webster-Barnes Emergency Student Loan Application All loans will bear a 6% annual interest rate. Repayment begins 9 months after graduation. Interest does not start accruing until 9 months after the student graduates (9 month Grace Period). If the student transfers to another college or university, this repayment provision still applies to the same time after graduation from such other institution. Name: College Major: CSU ID: Degree Anticipated: Expected Graduation Date: Cumulative GPA or Rank (if DVM): U.S. Citizen: Yes [ ] No [ ] Current Attendance: Full-time [ ] Part-time [ ] Permanent Resident: Yes [ ] No [ ] Student Status: [ ] Undergraduate [ ] Graduate [ ] DVM: 1st 2nd 3rd 4th (Note: Graduate student must be enrolled for "1 degree seeking credit" during the semester of the loan.) Mailing Address: Street Permanent Address: City Street State City Zip State Zip Best Contact Phone Number: Email Address: Semester Applied for: [ ] Summer [ ] Fall [ ] Spring Amount Requested: Student's Unmet Need: (LOAN IS NOT TO EXCEED ONE-HALF THE TOTAL COST OF EDUCATION PER YEAR, NOR EXCEED "UNMET NEED" AS DETERMINED BY THE OFFICE OF STUDENT FINANCIAL SERVICES, NOR EXCEED $5,000.) Have you applied for financial aid at CSU? [ ] Yes [ ] No Have you received loans? [ ] Yes* [ ] No *If Yes, please list loans received and amounts Have you received scholarships? [ ] Yes [ ] No *If Yes, list scholarships received and amounts Special involvement/activities that support your application: Provide additional information related to your circumstances or education plans as you deem appropriate: I, (print your name) , agree to abide by all of the terms and conditions of the loan program if I am granted a loan from this fund. Applicant’s Signature: Date: In the event my application is approved, I hereby authorize Colorado State University to release information regarding my academic record to any organization or agency which has provided financial assistance for me. Applicant’s Signature: Date: Signatures Required for College Approval: Signature of the head of the department with which the student is associated or the Associate Dean for Veterinary Academic and Student Affairs Date Signature of the DVM Financial Education Specialist Date Revised 03/2015