Emergency Loan Application

The College of Agricultural Sciences has limited funds available for emergency loans to meet unexpected needs. These loans are intended for students who have exhausted other sources of loan funding and have indicated by their academic performance that they will complete their studies at the University.

Name

E-Mail Address

Penn State 9-digit ID Number

Permanent Address

Permanent Phone Number

Local Address

Local Phone Number

Major

Semester Standing

Expected Graduation Date MM/YYYY

Advisor

Reason for Requesting Loan

Have you reached out to the Sokolov-Miller Family Financial and Life Skills Center for financial planning assistance?

Yes No

Amount being requested (max of $5,500)

Will this loan be going toward a bursar account balance?

Yes No

If yes, will a balance remain if approved for the loan?

Yes No

If yes, is there a plan in place to pay off the remaining balance?

Yes No

Explain the plan to pay off the remaining balance

How did you learn of the emergency loan?

Additional documentation