Emergency Loan Application

Creighton University
APPLICATION FOR SHORT-TERM
EMERGENCY UNIVERSITY LOANS
CREIGHTON UNIVERSITY
OMAHA, NEBRASKAPlease read carefully:

Emergency loans are available to any currently enrolled full-time student of Creighton University.
Borrower agrees to pay a $3.00 application fee for each loan disbursed.
The total indebtedness that any one student may incur from all emergency University controlled loans is $200.00 per semester per Undergraduate, and $1000.00 per professional student as fund balances permit, unless there are special circumstances.
An emergency University loan must be repaid before the next succeeding registration or, in the case of a graduating senior, prior to the beginning of the final examination period immediately before graduation. There are no deferment provisions allowed on emergency University loans.
A student withdrawing from Creighton must make payment in full immediately.

The interest rate on emergency University loans is a 6% annual rate (calculated daily) from the date of the loan. Interest amounts for:

Schaeffer Smith Greco
TePoel
Nilsson
Accel Nursing, St Joe
All Others

3% p/annum, 3% p/maturity
2% p/annum, 6% p/maturity
0% p/annum, 0% p/maturity
0% p/annum, 6% p/maturity
6% p/annum, 6% p/maturity

The Business Office and the school administrators shall have the ultimate discretion in awarding and disbursing emergency loans.
If an unpaid balance is outstanding on a tuition account, satisfactory arrangements must be made prior to disbursement of emergency University loan funds.

Any student with a delinquent loan will:

Complete this application only if you agree to the terms above.

Application

Student Local Address
	[Same As Permanent] [Clear Fields]
Address:^*
City/State/Zip:^*
Home Phone:^*
Cell Phone:
Other Phone:
Email:^*

Mother or Guardian
Relationship:^*
First Name:^*
Middle:
Last:^*
	[Same Address As Father/Guardian]
Address:^*
City/State/Zip:^*
Home Phone:^*
Cell Phone:
Other Phone:
Other Phone:
Email:

1st Reference (No Students Please)
Relationship:^*
First Name:^*
Middle:
Last:^*
Address:^*
City/State/Zip:^*
Home Phone:^*
Cell Phone:
Other Phone:
Other Phone:
Email:

2nd Reference (No Students Please)
Relationship:^*
First Name:^*
Middle:
Last:^*
Address:^*
City/State/Zip:^*
Home Phone:^*
Cell Phone:
Other Phone:
Other Phone:
Email:

Cosigner Information
Applicants under 19 years of age, are required to have a co-signer over 19 years of age. The signature of the parent or guardian is preferred (students cannot co-sign)
	Check this box to indicate you are required to have a cosigner
Relationship:^*
Social Security Number:*	-- --
First Name:^*
Middle:
Last:^*
Date of Birth:	/ /
Address:^*
City/State/Zip:^*
Home Phone:^*
Cell Phone:
Other Phone:
Other Phone:
Email:
	Check this box to affirm that your co-signer realizes the nature of his/her obligation and that he/she will be required to repay this loan in the event you fail to do so?

Access Information
Important! You must select a password. Passwords are case-sensitive! You will need to enter it twice and both must match. You will need this password in order to review or modify this application. You will also need this password to sign your promissory note (if your application is approved). If you forget this password, you can have it sent to the student email address(es) above. Be sure those are correct! You will receive an confirmation message containing full details when you complete this application. You WILL NOT be able to progress past the application step without your password. If you cannot remember or retrieve your password, You will be forced to start the application process all over from scratch!
Password:^*
Again:^*

Electronic Signature
Certification:^*	I have read, understand and agree to be bound by the Terms and Conditions of this loan.
	I certify that all the information I have provided is true and correct.
Signature:^*	(type your full, legal name as your electronic signature)

If you need help completing this form, please contact your school.

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