Eastern Illinois University
Student Services Building
Charleston IL 61920
217-581-5227

Emergency Student Loan Application

(I). PERSONAL INFORMATION:
Last Name: First Name: Middle Initial:
Social Security Number: - - Email Address:
Local Address:
City: State: Zip:
Telephone:
Year in school: Freshman: Sophomore: Junior: Senior:
Number of semesters @ EIU:
Major:
Are you a Veteran? Yes No
International Student? Yes No

(II). LOAN REQUEST INFORMATION:


Amount you wish to borrow $
Purpose of loan:

(III). CO-SIGNER INFORMATION:
ALL EMERGENCY LOAN REQUESTS OVER $100 MUST HAVE A CO-SIGNER.


Last Name: First Name: Relationship to borrower:
Address: City: State: Zip: Telephone:

(IV). PARENT/SPOUSE INFORMATION:

Last Name: First Name: Relationship to borrower: Mother: Father: Spouse:
Address: City: State: Zip: Telephone:

(V). READ!! IMPORTANT INFORMATION:
I authorize Eastern Illinois University to deduct repayment for this loan and any interest which might have accrued from any funds which I may receive through The Office of Financial Aid whether or not the due date has been reached. The granting of this loan carries with it certain responsibilities. It is important that you repay the loan according to the agreed plan. If you have a repayment issue, please contact The Office of Financial Aid before your loan becomes due at 217-581-5227. Failure to make payment on your loan can result in a hold on some University services. Repayment of this loan will be made at the Cashier's Office in Old Main.
I hereby acknowledge the above information on this application is true and correct to the best of my knowledge. I will use the funds only for the purpose stated and agree to the terms of the loan. Before this loan check can be released, you must be currently enrolled, have a valid student identification card, and sign your promissory note.

HELPFUL HINTS

  1. Answer all questions completely.  If an incomplete or incorrect address is listed and correspondence associated with this loan application are returned, the additional cost of postage will be added to the loan amount.
  2. Any loan amount over $100 requires a co-signer.  A co-signer must be a FULL TIME EMPLOYED person but CANNOT be another college student.
  3. Any note requiring a co-signer will be mailed to the co-signer for completion unless the loan officer approves other arrangements.  Loan checks WILL NOT be disbursed until the properly executed note has been returned.
  4. Loan repayment dates will vary with different loan programs.  Please consider a realistic, short repayment period before speaking with the loan officer.  Please have a repayment date within ninety days in mind with the final date to be determined by the loan officer.

Please e-mail or call at 217-581-5227 with any questions you may have.

BACK TO THE FINANCIAL AID MAIN PAGE...