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Golden Gate University School of Law
Loan Repayment Assistance Program (LRAP) 2019 Application
Section 1: Biographical Information
Please complete the information requested below.
Applicant’s Last name:______________________________ First name: __________________________________
Address: ______________________________________________________________________________________________
Email: _________________________________________________________________________________________________
Day time phone:_____________________________________ Mo/Year of graduation:_____________________
Have you participated in GGU’s LRAP previously?
Yes or
No
If yes, when was the last year you received LRAP assistance? __________________________________
If yes, are you requesting LRAP consideration for the 2019 year?
Yes or
No, I only seek forgiveness for last year’s LRAP loan because:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Are you eligible to receive loan repayment assistance of any other kind (common examples
include a state LRAP or an employer LRAP)?
Yes or
No. If yes, please provide in your
Personal Statement (Section 5 of the Application) details regarding this assistance program
and either: (1) a description of the amount of support you receive; or (2) an explanation of
why you do not receive said assistance.
Marital Status: Single_______ Married_______ Divorced_______ Separated_______ Widowed_______
Household members/dependents (please include anybody that is claimed as dependent on
your tax return):
Name
_____________________________
_____________________________
_____________________________
_____________________________
Date of Birth
_____________________________
_____________________________
_____________________________
_____________________________
Relationship to You
_____________________________
_____________________________
_____________________________
_____________________________
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Section 2: Employment Information
Please complete the information requested below for ALL paid work from September 15, 2018
September 30, 2019 for each employer.
Applicant
Name of Employer: __________________________________________________________________________________
Employer Address: __________________________________________________________________________________
Employer Telephone ________________________________________________________________________________
Position/Job Title: ___________________________________________________________________________________
Starting Date of Employment: ______________________________________________________________________
End Date of Employment, if applicable: ____________________________________________________________
Is this a full time position?
Yes or
No
If NOT full time, how many hours per week do you work for this employer? __________________
Is this a public interest position?
Yes or
No If yes, what percentage of your time is
spent on public interest work (see definition and examples in the FAQ): _____________________
Does this job require a law license or is it “JD Advantage” (see explanation of JD required
and “JD advantage,” and examples, in the FAQ)?
Yes or
No
Please attach your most recent paycheck stub.
Please attach a current resume.
Spouse (if applicable)
Name of Employer: __________________________________________________________________________________
Employer Address: __________________________________________________________________________________
Employer Telephone ________________________________________________________________________________
Position/Job Title: ___________________________________________________________________________________
Starting Date of Employment: ______________________________________________________________________
End Date of Employment, if applicable: ____________________________________________________________
Is this a full time position?
Yes or
No
If NOT full time, how many hours per week do you work for this employer? __________________
Please attach their most recent paycheck stub.
Section 3: Income & Asset Information
Please list all sources of income, not only your wages. Please report your current wages
and any expected increase in wages (if applicable). All other income sources should be
reported from the previous year. LRAP participants are required to notify the Office of
Financial Aid within 30 days if there is a change in income, employment, address, or marital
status.
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Sources of Income
Applicant
Spouse
Current Annual Wages per
Employer - list individual
employer(s) below
Anticipated Wage
Increase/Decrease
Date of Increase/Decrease
Expected Wages
Parental/Other Support
Total
Income from Previous Year
Income from
Applicant
Spouse
Investments (interest and
dividends from savings,
stocks, bonds, CDs)
Rental Properties
Other Sources (please
specify)
Total
Please list assets that you own and their current value below. Assets that are owned
individually should be listed under the owner of the asset (if the applicant has no rights
under community property to a separate asset of a spouse, provide explanation in your
Personal Statement in Section 5). Joint assets should be reported under “Joint Accounts.”
Anything that is in your or your spouse’s name legally and that has monetary value is either
income or an asset. Full disclosure on this form requires applicants to err on the side of
over-inclusion. Retirement plans should not be included. Retirement plans are defined as
401(k), 403(b), 457(b) plans, IRAs, and Roth IRAs.
Category
Current Value
Applicant
Spouse
Joint Accounts
Cash and Bank Accounts
Investments
(stocks, bonds, CDs, etc.)
Home Equity
Other Real Estate Equity
Trust Funds
Other Assets (please specify)
Total
$0
$0
$0
$0
$0
$0
$0
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Section 4: Student Loan Questionnaire
1. What is the current total of your federal student loan debt? ___________________________
2. What is the current total of your private student loan debt? ___________________________
3. What is the current total of your spouse’s federal student loan debt? _________________
4. What is the current total of your spouse’s private student loan debt? __________________
5. Have you consolidated your federal student loans? Yes or No If no, why not?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
6. Are you making Income-Based Repayment payments on your federal student loans?
Yes or No If yes, please indicate which plan: _________________________________________
If no, why not? ____________________________________________________________________________________
______________________________________________________________________________________________________
7. What is your total current monthly student loan payment for both you and your spouse?
Please attach a loan summary from your lender/servicer for confirmation.
Applicant Spouse
Federal debt: __________________________ __________________________
Private debt: __________________________ __________________________
TOTAL: __________________________ __________________________
8. Do you expect your monthly payments to change over the next twelve months?
Yes or No If yes, please explain. ____________________________________________________________
________________________________________________________________________________________________________
9. Please indicate the total amount of student loan payments that have been made on the
behalf of you and your spouse for the period of September 15, 2018 – September 30, 2019.
Please provide a payment confirmation/proof of payment from your lender/servicer.
Applicant Spouse
Federal payments: _______________________ __________________________
Private payments: _______________________ __________________________
TOTAL payments: _______________________ __________________________
10. If you received a 2018 GGU LRAP award AND at some point between September 15,
2018 and September 30, 2019 you no longer met the eligibility requirements because you
earn over $75,000 or you and your spouse together earn over $150,000, or you took a full
time position with a non-public interest employer, please explain this change in
circumstances in your personal statement and specify when the change in circumstances
occurred.
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Section 5: Personal Statement
Please make a case for your inclusion in LRAP. Every applicant must attach a personal
statement with an explanation of circumstances that are not addressed by this application,
or that require further clarification. For example, explain whether you qualify for other
types of loan repayment assistance and whether you receive that assistance (or why you do
not). Or if you are about to start making loan payments but have not done so to date,
explain and provide proof of the agreement you have reached with your lender(s). Or
perhaps you have financial obligations or hardships not addressed in the standard format
of this applicationuse this opportunity to explain. If you are married and are maintaining
separate finances, use this opportunity to explain the financial agreement you have reached
with your spouse (reference any attached marital agreement, if included in your
application). And if you are working as a volunteer at a qualifying employer AND making
student loan payments, please explain the source of income of the loan payments and
whether you have applied for income-based repayment or deferral, why or why not, and
the result of any such application. Also, if you are not working full time, or if you are not
working full time at a job requiring a law license or that is “JD advantage,” please address
your reasons for not doing so.
Section 6: Certification of Information and Terms
1. I hereby certify that all the information contained in this application is true and complete
to the best of my knowledge.
2. I certify that all LRAP funds received will be used for the express purpose of repaying
student loans borrowed for attendance at Golden Gate University School of Law.
3. I certify that the loans I receive LRAP assistance for are in repayment status, and agree to
provide proof of repayment status upon request.
4. I agree to provide proof of the information presented in this application upon request.
5. I agree to notify the Office of Financial Aid in writing within 30 days if there is a change
in income, employment, loan repayment plan, address, or marital status.
6. I understand that to continue in the LRAP program, I must submit a completed
application and all requested materials by the September 30th LRAP deadline and next
year’s LRAP deadline for requesting forgiveness. I understand that it is my responsibility to
contact the Office of Financial Aid for any necessary information or materials. I understand
that an incomplete application will not be reviewed and may result in the forfeiture of
LRAP eligibility for the relevant award period.
7. I certify that I am not delinquent or in default on any student loans and understand that
my eligibility for LRAP depends upon the continuous satisfactory repayment status of my
student loans.
8. I understand that failing to provide complete and accurate information will make me
ineligible for LRAP assistance and forgiveness of LRAP loans.
_________________________________________________ _________________________________
Applicant’s Signature/Name Date
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