Berkeley Law - LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP) -

LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP)

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ONLINE APPLICATION FOR FIRST-TIME AND CONTINUING PARTICIPANTS

Application Type

I am a first-time applicant.
I am a continuing applicant.
Anticipated Begin Date
This date cannot be earlier than the 1st day of the month you are submitting this application.

Track

I choose the Standard track.
I choose the IBR track for the entire length of my LRAP participation.
Once you opt for the IBR Track, you are required to remain in IBR. Please contact us at lrap@law.berkeley.edu if you are not sure which track works best for you.

I am in a 1-year clerkship.
I am applying for the LRAP Low Bono/Union coverage.

Biographical Information

Name (First, Middle, Last, Suffix) (required)

Student ID Number	(do NOT enter your Social Security Number)
Graduating Class

Email Address

* Email is our primary method of contacting you. Please provide an email which you will check regularly and notify us of any changes.

I am a continuing applicant and my current and permanent addresses have not changed.

Contact Information - Please fill in both current and permanent address completely.

Current Address 1
Current Address 2
Current City
Current State
Current Zip Code

Permanent Address 1
Permanent Address 2
Permanent City
Permanent State
Permanent Zip Code

Preferred mailing address
Choosing a preferred mailing address is important in case payment is made by paper check.

Did you enter Berkeley Law as a transfer student?

Marital Status
If married, spouse's name
Number of Dependent Children	(as defined by the federal tax code)
Ages of Dependent Children

References

Please list two references who will always know where to contact you and do not reside at the same address (e.g. relatives or friends).

I am a continuing applicant and my references have not changed.

Reference's Name
Relationship
Address
Phone Number

Reference's Name
Relationship
Address
Phone Number

Loan Indebtedness Information

First time applicants must complete the information in this section for all of their educational loans (both federal and private).

Continuing applicants must complete the information in this section for private educational loans only.

Berkeley Law Loans
	Principal on Note (Amount Borrowed)	Current Outstanding Balance	Monthly Payment	Interest Rate	Loan Type	Documentation of Your Current Repayment Plan
Direct/FFEL Unconsolidated Loans
Direct/FFEL Consolidated Loans
Perkins Loans
Grad PLUS Loans
Private Educational Loans
Other Berkeley Law Loans
Law/Graduate School Loans (Non-Berkeley Law)
	Principal on Note (Amount Borrowed)	Current Outstanding Balance	Monthly Payment	Interest Rate	Loan Type	Documentation of Your Current Repayment Plan
Direct/FFEL Unconsolidated Loans
Direct/FFEL Consolidated Loans
Perkins Loans
Grad PLUS Loans
Private Educational Loans
Other Non-Berkeley Law Loans
Undergraduate Loans
	Principal on Note (Amount Borrowed)	Current Outstanding Balance	Monthly Payment	Interest Rate	Loan Type	Documentation of Your Current Repayment Plan
Direct/FFEL Unconsolidated Loans
Direct/FFEL Consolidated Loans
Perkins Loans
Other Undergraduate Loans
Totals
	Principal on Note (Amount Borrowed)	Current Outstanding Balance	Monthly Payment
Total Debt

Check the Loan Disclosure Statement from your lender for interest rates and monthly repayment terms.

If a FIRST-TIME applicant, attach a copy of a recent disclosure statement and a document showing repayment terms for each of your loans listed above.

If you have additional documents, please attach copies in any of the unused attachment boxes above with "Additional Document" in the name of the file(s).

Financial Statement

Please report anticipated gross income for 12 months starting with the anticipated LRAP begin date you listed at the top of this application. If you are married, your spouse's income must be reported.

	Applicant	Spouse
Wages and Salaries
Overtime/Bonus/Commissions
Taxable Interest Income
Dividend Income
Business Income
Alimony
Unemployment Compensation
Rental Income
Trust Fund Income
Other Income (please specify below)
Total Income

Please specify Other Income (if any)

Employer Information

Please complete this information as accurately as possible. If you are married, please provide information regarding your spouse's employment.

	Applicant	Spouse
Employer
Name of Supervisor
Street and Apt #
City, State, Zip
Employer/Supervisor Phone #
Employment Stating Date (and ending date if applicable)
Annual Salary
Full Time/Part Time
Hours per Week
Brief Job Description	characters left

Statements

First-time applicants must attach a copy of their published job description, a personal statement, and a current resume.

Employer Verification Form
Job Description	(Submit only once as a first-time applicant or when your job changes.)
Personal Statement
Resume

I certify that all of the information provided on this form is true and complete to the best of my knowledge. I agree to provide verification of the information that I have supplied on this form if requested by the School of Law or the program administrators.

Additional documentation may be requested. The length of your participation based on this application is subject to the discretion of the Financial Aid Office. You will be notified by the Financial Aid Office of the length of your participation period at the time your LRAP eligibility letter is sent.