NOTICE: Approval of this loan is not automatic. It is based on need, ability to repay, and previous financial record with the University. Loan repayment schedule will be determined by the Graduate School. First Name * Middle Name Last Name * University ID Number * Department * - Select -African American StudiesAmerican StudiesAncient WorldAnthropologyApplied and Computational MathArchitectureArt and ArchaeologyAstrophysical SciencesAtmospheric and Oceanic SciencesBioengineeringChemical and Biological EngineeringChemistryCivil and Environmental EngineeringClassical PhilosophyClassicsComparative LiteratureComputational and Information ScienceComputer ScienceEast Asian StudiesEast Asian Studies-oldEcology and Evolutionary BiologyEconomicsElectrical EngineeringEnglishEnvironmental StudiesFinanceFrench and ItalianGender and Sexuality StudiesGeosciencesGermanHealth and Health Policy (HHP)Hellenic StudiesHistoryHistory of ScienceInterdisciplinary Humanities (IHUM)Italian StudiesLatin American StudiesMaterials Science MathematicsMechanical and Aerospace EngineeringMedia and ModernityMedieval StudiesMolecular BiologyMusic CompositionMusicologyNear Eastern StudiesNeuroscienceOperations Research and Financial EngineeringPhilosophyPhysicsPlasma PhysicsPolitical EconomyPolitical PhilosophyPoliticsPopulation StudiesPsychologyQuantitative and Computational BiologyReligionRenaissance and Early Modern StudiesScience, Technology, and Environmental Policy (STEP)Slavic Languages and LiteraturesSocial Policy SociologySpanish and PortugueseStatistics and Machine LearningUrban PolicyWoodrow Wilson School of Public and International Affairs E-mail * Phone * Are you currently enrolled? * - Select -YesNo Expected Date of Completion: Year Year2017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Stipend Amount Per Month: $ Stipend amount you actually receive (after rent, etc. is deducted) per month: $ Do you have any outstanding University debt (Do not include University store debt)? Choose one * Yes No If yes, please explain: Loan Amount Requested: * $ Reason for Loan: * You will be charged a simple, annual interest rate of 8% for this loan. If approved, payment will be made to you (the student) in approximately four business days. Your loan check, paid one disbursement, will be available for pick up in the Student Accounts office located at 701 Carnegie Center. I certify that: * I certify that the information I have provided is accurate to the best of my knowledge, and that I accept the terms of this loan. Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 5 + 14 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.