Fillable Self Disclosure Form Student Loan Default (Winthrop University)

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Self Disclosure Form Student Loan Default (Winthrop University)

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The Self Disclosure Form Student Loan Default (Winthrop University) form is 1 page long and contains:

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  • 3 check-boxes
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File type: PDF

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Revised 11/2016
WINTHROP UNIVERSITY
Employee Certification
South Carolina Code 59-111-50 (Cum. Supp. 1980) prohibits State employment to
persons who have willfully defaulted on student loans. Accordingly, the following
certification must be completed as part of the pre-employment process. Check all
that apply:
I certify that I am not in default on any of the following types of loans:
• National Direct Student Loan
• National Defense Student Loan
• Guaranteed-Federally Insured Student Loan
• Nursing Student Loan
• Health Professions Student Loan
• Law Enforcement Educational Loan
I understand that should I become in default on any of the above loans, State
law will preclude my continued or future employment with the University
unless I voluntarily enter into and honor an agreement under which terms the
debt will be repaid and the lender provides written confirmation of the
agreement to the University.
I am currently in default on one or more of the above loans. I understand that
State law prohibits my employment until I voluntarily enter into and honor an
agreement after default under which terms the debt will be repaid and the
lender provides written confirmation of the agreement to the University. I also
understand that my participation in the agreement described above will not
prejudice my employment by the University.
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Self Disclosure Form Student Loan Default (Winthrop University)

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Completed 18 July 2020

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