"*" indicates required fields Name* First Last Student ID #*Email* Term* Fall 2024 Spring 2025 Have you borrowed from the Emergency Financial Aid Loan Fund in the past?* Yes No Students who have received an Emergency Financial Aid Loan in the past and who have not paid it back as agreed are not eligible to borrow from the program again. Loan Request* Art class Bus pass ($75) Vehicle-related transportation ($75) Dental/medical co-payment ($35) Meals ($50) Other Please check all that apply.List*Course NumberInstructorSupply Costs Add RemovePlease describe your need and amount of loan requested*Maximum loan amount is $125*Emergency loans must be repaid within two weeks of application. I hereby promise to repay the full amount of this loan no later than the date on which the loan is due: [wpdts item="date" days="+14"]. I further agree to pay any collection and attorney’s fees that may be incurred by the College in the process of attempting to collect this loan if I fail to pay the loan in full by the due date indicated. I understand and agree to the loan terms