Fillable SHORT TERM EMERGENCY LOAN APPLICATION (Columbia Basin College)

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SHORT TERM EMERGENCY LOAN APPLICATION (Columbia Basin College)

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The SHORT TERM EMERGENCY LOAN APPLICATION (Columbia Basin College) form is 5 pages long and contains:

  • 2 signatures
  • 9 check-boxes
  • 74 other fields

Country of origin: US
File type: PDF

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1
SHORT TERM EMERGENCY LOAN APPLICATION
Please clearly print all information on application.
Please fill out the application in digital form. If completing the paper application, please use blue/black
ink. Do not leave any blank spaces—enter “0” or N/A if it does not apply. Make sure all required
documents are returned with your application. Incomplete applications cannot be processed and will
be returned.
Applicant Personal Information
• Please fill out this section completely. The SID is your CBC Student ID number.
• Send a copy of your STEPP agreement form if applying for a tuition loan.
• Complete the Book Price List if applying for a book loan.
• Checkmark loan repayment method(s).
Income Verification
• Complete this section if you are basing your loan repayment on personal income.
• If you are relying on another person's income to qualify for the loan, you must provide a
written and signed statement of approval from that person to use their income for the
purpose of qualifying for the loan. The person must be of legal age (18 or older).
o The written statement must include the person's name, relationship to you, income
and place of employment, and current address and telephone number.
• Completely fill out the Personal Resource Worksheet.
o Be sure to indicate household size by number of adults and number of children.
Worksheet amounts should reflect total household income and expenses.
o Read each category of income and enter the income amount or a “0” in each box.
o Submit proof of income with the application; the proof document should show
year-to-date income (pay stub and bank statement is the preferred
documentation).
o Read each category of expense and enter the expense amount or a “0” in each box.
Financial Aid
• Complete this section if you are basing your loan application repayment on Financial Aid.
• Your Financial Aid file MUST be complete.
• Loan staff will verify your Financial Aid status in the CBC system.
Consent and Signature
• Read the statement, sign, date, and print your name at the bottom of the page.
• Submit completed application to cctandloanprogram@columbiabasin.edu.
• If you have questions, contact Samantha Smith at 509-544-4981.
2
Frequently Asked Questions
Q: How do these loans work?
A: Tuition Loans: If approved, you will be enrolled in STEPP (Student Tuition Easy Payment Plan). The Resource
Center will submit payment on your behalf for the amount of the first STEPP. You will be responsible for paying
the second and third STEPP on time, in addition to repaying our loan by the due date stated in the Promissory
Note, which is typically the end of the quarter. A block will be placed on your account until the loan has been
repaid. This block prevents adding/dropping classes and ordering transcripts.
Book Loans: If approved, the Resource Center will give you a voucher to purchase your textbooks from the
Columbia Basin College Bookstore. You will be responsible for repaying our loan by the due date stated in the
Promissory Note, which is typically the end of the quarter. A block will be placed on your account until the loan
has been repaid. This block prevents adding/dropping classes and ordering transcripts.
Student Housing Loans: If approved, the Resource Center will submit payment on your behalf for the student
housing deposit and/or month’s student housing payment. You will be responsible for repaying our loan by the
due date stated in the Promissory Note, which is typically the end of the quarter. A block will be placed on your
account until the loan has been repaid. This block prevents adding/dropping classes and ordering transcripts.
Q: How much is the interest for this loan? Will this affect my credit score?
A: This short-term loan is interest-free. Your credit score is not a factor in determining eligibility for this loan.
Q: Will you reimburse me for my books if I buy them through Chegg/Amazon/craigslist?
A: Our book loan program does not reimburse students for books that they have already purchased. Eligible
students will receive a voucher to take to the Columbia Basin College bookstore to acquire their textbooks.
Q: My financial aid won’t be processed until I submit my transcripts/academic plan/missing documents. How will
this affect my application?
A: Once you complete your file with the CBC Financial Aid office, it may take several weeks until your file is
processed. We cannot process a loan application for a loan which will be repaid with financial aid funds until we
are able to confirm your financial aid approval status.
Q: Once I turn in my application, how long will it take to process?
A: Applications are reviewed as soon as possible; however, it could take up to one week for processing. If
your application is incomplete, this will delay processing.
Q: How will I be notified once my application has been reviewed, or if more information is needed?
A: We will contact you with the information provided on the application to let you know once a decision has been
reached, or if we have any questions.
3
EMERGENCY BOOK, STUDENT HOUSING
AND TUITION LOAN APPLICATION
Workforce Education Center
2600 N. 20th Avenue
MS-H2
Pasco, WA 99301
cctandloanprogram@columbiabasin.edu
Phone: 509.544.4981
Date Stamp Here
Please clearly print all information on application in blue or black ink. Submitted applications are
processed on a first-come/first-served basis. Incomplete applications will take longer to process.
Submit completed applications to cctandloanprogram@columbiabasin.edu.
SID
State Zip
Cell Phone
Date of Birth
@students.columbiabasin.edu
Phone
Name (please print)
Mailing Address
City
Home Phone
CBC Student Email
Emergency Contact Person
REQUESTED ASSISTANCE:
Book Loan
List requested textbooks and their prices in the space below. Information can be found by going to the
Columbia Basin College Bookstore, located upstairs in the H-building, or through the CBC Bookstore
website.
Title of Book
Cost
Student Housing Loan
Check all that apply: Deposit Student housing payment, monthof
Payment Amount
Due Date
4
Tuition Loan
You will need to provide a copy of the STEPP agreement form found under My CBC Kiosk. For the
purposes of this Emergency Loan Application only, please print the STEPP agreement form without submitting it
to the Kiosk.
LOAN REPAYMENT BASIS (Check all that apply):
Income: You intend to pay out of pocket from your own income (Complete Income Verification below)
Financial Aid: You intend to repay from your financial aid award.
(Cannot use Financial Aid for student
housing loan)
INCOME VERIFICATION
Personal Resource Worksheet
My household includes: Number of adults: Number of children: _
Monthly Expenses
Personal Wages
Rent/Mortgage
Spouse/Partner Wages
Electricity
Other Family Members Wages
Heating
Child Support
Water/Garbage/Sewage
Social Security
Telephone
Maintenance/Alimony
Food
Retirement
Day Care
Workers Compensation
Medical
Unemployment Insurance
Clothing
Public Assistance
Monthly Auto Payments
Food Stamps
Auto Insurance
Financial Aid after
Tuition/Books
Fuel
Other:
Public Transportation
Monthly Loan Payments
Monthly Credit Card
Payments
Other:
Total Monthly Income
Total Monthly Expenses
My Monthly remainder (Income minus expenses)
I certify the above is true and accurate to the best of my knowledge. I further understand
that awarding of loans is contingent upon availability of funds.
Student Signature Date
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5
Financial Aid
In your Financial Aid portal under “Information We Need From You” there is a list of paperwork required
to complete your financial aid file. Double-check that all paperwork has been turned in; incomplete
financial aid files are an automatic denial. If you have any questions about your financial aid, please
speak with Hawk Central.
If you qualify for our Emergency Loan based on Financial Aid repayment, part or all of your loan
repayment will be automatically taken from your Financial Aid award. It is your responsibility upon
receiving Financial Aid to verify your entire loan is repaid.
I consent to the release of Columbia Basin College, without notice to me, of relevant student
records necessary to the enforcement of the terms or conditions of this loan. I further
understand that this application may be used as a basis for credit investigation, if necessary.
By signing this application, I certify under penalty of perjury that the foregoing statements are true and
correct to the best of my knowledge, and I agree to the terms and conditions stated herein.
Applicant Signature: Date:
Print Name:
Signed in the City of , State of .
FOR OFFICE USE ONLY
APPROVED:
DENIED
Notes:
Columbia Basin College complies with the spirit and letter of state and federal laws, regulations and executive orders pertaining to civil rights, Title IX, equal opportunity and affirmative action. CBC does not discriminate on the basis of race, color, creed, religion,
national or ethnic origin, parental status or families with children, marital status, sex (gender), sexual orientation, gender identity or expression, age, genetic information, honorably discharged veteran or military status, or the presence of any sensory, mental, or
physical disability, or the use of a trained dog guide or service animal (allowed by law) by a person with a disability, or any other prohibited basis in its educational programs or employment. Questions or complaints may be referred to the Vice President for
Human Resources & Legal Affairs and CBC’s Title IX/EEO Coordinator at (509) 542-5548.Individuals with disabilities are encouraged to participate in all college sponsored events and programs. If you have a disability, and require an accommodation, please
contact CBC Disability Support Services at (509) 542-4412 or the Washington Relay Service at 711 or 1-800-833-6384. This notice is available in alternative media byrequest.
S
ubmit completed applications to cctandloanprogram@columbiabasin.edu.
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SHORT TERM EMERGENCY LOAN APPLICATION (Columbia Basin College)

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Completed 28 January 2021

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