Jessup University Forms

Alternative Loan Request Form

This form IS NOT an application for a student loan. Complete this form after you have applied, and have been approved for, an alternative student loan through a bank or other lending institution.

Student Information*

First Name

Last Name

Student ID#*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number*

Email*

Loan Information

To which year would you like to apply this loan?*

2022-2023 Academic Year 2023-2024 Academic Year

Choose only one. Your loan cannot span across multiple academic years.

Lender*

Who are you borrowing from?

Fall 2022 Semester Disbursement $

This is the amount that will be applied to the Fall 2022 balance.

Spring 2023 Semester Disbursement $

This is the amount that will be applied to the Spring 2023 balance.

Summer 2023 Semester Disbursement $

This is the amount that will be applied to the Summer 2023 balance.

Fall 2023 Semester Disbursement $

This is the amount that will be applied to the Fall 2023 balance.

Spring 2024 Semester Disbursement $

This is the amount that will be applied to the Spring 2024 balance.

Summer 2024 Semester Disbursement

This is the amount that will be applied to the Summer 2024 balance.

Total 22-23 Loan Amount Requested $

This is the total value of your loan. This amount must be repaid according to the terms and conditions agreed upon through your lender.

Total 23-24 Loan Amount Requested $

This is the total value of your loan. This amount must be repaid according to the terms and conditions agreed upon through your lender.

Sign and Submit

By signing this form, I certify that the above information is true and accurate. I authorize the William Jessup University Financial Aid Office to forward to my lender all information required to process my Alternative Loan.

Borrower Signature*

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Use your mouse or finger to draw your signature above