Revised December 2019
Edison State Community College
2020-2021 Schell Loan Application
Charles E. Schell, Foundation
Fifth Third Bank, Trustee
Edison State Community College Loan Program
Student Name: _____________________________________________ Student SSN: _______________________________
(Last, First, Middle)
Student ID: ___________________________
Address ___________________________________________________________________________________
(Street Address, City, State, Zip)
Phone Number _____________________________Email Address ____________________________________
1. I plan to be enrolled in: (select one option for ALL of the terms for which you wish to borrow)
Fall 2020 Spring 2021
6-11 credit hours 6-11 credit hours
12 or more credit hours 12 or more credits hours
2. Amount Requested
For the terms I have selected, I wish to borrow $__________ ($1500 Annual Maximum)
Basic Qualifications Checklist
Charles E. Schell, upon establishment of the Foundation, specified the following qualifications for this loan:
Born in and citizens of the United States of America
Between the ages of 18 and 25
Of parents who were born in and citizens of the United States of America
Loyal to the United States of America and its institutions
Honest, upright, intelligent and of practical appearance
Maintaining a minimum of a 2.0 GPA on a 4.0 scale
I attest that I meet the minimum requirements as stated above and will provide proof if asked by Edison State Community College.
Student Signature ___________________________________________________Date ____________________
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signature
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