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Loan Application Rules and Regulations Loan Renewal Application

Personal Information

Name in Full *

Age *

Date of Birth *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Telephone

Parent's Email *

Parent's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent's Telephone *

What County are you a Resident of? *

How long have you been a Resident of this County? *

Terms & Conditions

Please click here to download & read our Terms & Conditions (pages 5 & 6)

Family Information

This information is confidential for the use of the Dodd & Dorothy L. Bryan Foundation to determine loan eligibility. Please provide a copy of the most recent IRS Form 1040 for the applicant and parent(s) or Co-signer(s). See note below if your parents are not married. (Please submit only the first two pages of the 1040 or 1040EZ and please make sure the copy is signed). If your parents are not married, and do no not live together, please provide information for the parent whom you live with the most. If you live with them equally, please provide the information for the parent that will co-sign the loans with you. If your parent is remarried, please provide information regarding their spouse if they will also be co-signing.

Upload Form 1040 Here *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Co-Signer 1 Name

Employer Name

Position Held by Co-Signer 1

For How Long 1?

Co-Signer 2 Name

Employer Name

Position Held by Co-Signer 2

For How Long 2?

Please list all dependents currently living in the household, applicant first

Dependent 1 Name *

Dependent 1 Age *

Dependend 1 Grade Level *

Dependent 1 for Taxes *

Yes
No

Dependent 2 Name

Dependent 2 Age

Dependent 2 Grade Level

Dependent 2 for Taxes

Yes
No

Dependent 3 Name

Dependent 3 Age

Dependent 3 Grade Level

Dependent 3 for Taxes

Yes
No

Dependent 4 Name

Dependent 4 Age

Dependent 4 Grade Level

Dependent 4 for Taxes

Yes
No

Dependent 5 Name

Dependent 5 Age

Dependent 5 Grade Level

Dependent 5 for Taxes

Yes
No

Please provide an official transcript from the High School and College(s) last attended that show your cumulative GPA

High school(s) attended *

School last attended *

Upload your Transcript(s) Here *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Please provide proof of enrollment, acceptance letter, or schedule

Upload proof of enrollment, acceptance letter, or schedule here *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Educational Plans

Where do you plan to attend school? *

For what profession, trade, or business will you be studying? *

For how many years do you anticipate being in college before attaining your education goal? *

If you take a vocational course, how long will you be in training?

For how many years do you anticipate needing financial assistance? *

Will your parents or a co-signer sign a note with you? *

Have you made application for financial assistance other than the Dodd and Dorothy L. Bryan Foundation? *

Yes
No

Has any member of your family ever applied for a loan from the Dodd and Dorothy L. Bryan Foundation? *

Yes
No

Formal Request:

Terms & Conditions

I have read and agreed to the Terms & Conditions (Pages 5-6)

I hereby apply for an interest-free student loan from the Dodd and Dorothy L. Bryan Foundation in the amount below per year, for the number of years below. I understand that my automatic renewal of this loan, on an annual basis, is contingent on maintaining a GPA of least 2.25 and enrolling in an accredited college for at least twelve (12) credit hours or full-time status at the attending college or maintaining my enrollment in trade school.

If this application for loan is granted, I agree to abide by the Terms and Conditions stated above and I pledge myself to fulfill all of the requirements placed upon me.

Notice to Parent(s)/Co-Signer(s): You may have to pay the full amount of the debt if the student borrower defaults on this student loan. In that event, you will be liable for the interest, attorney fees and collections costs as provided in the promissory note. The Foundation is entitled to collect the amount due under the promissory note from you without first attempting to collect from the student borrower.

Amount per year (referenced above) *

Number of years (referenced above)

Today's Date *

Applicant Signature in Full *

Signature of Parent or Co-Signer 1

Signature of Parent or Co-Signer 2

Additional Information From the Applicant

Email *

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