Application Type

This date cannot be earlier than the 1st day of the month you are submitting this application and should only include the month whereby you are in qualifying employing employment and have (or will have) a student loan payment due.

For the class of 2013 and beyond, the IDR track is your only option. To receive LRAP funding for the IDR track, your federal loans must be in the IBR, PAYE, REPAYE, or SAVE plans. You will need to provide proof of your monthly payment amount. Once you opt for the IDR Track, you are required to remain in IDR.

You must have qualifying LRAP employment immediately following your clerkship.

While you may be eligible for LRAP, this type of employment is not eligible for Public Service Loan Forgiveness. Please include a statement or proof that at least 50% of the work of the firm and the applicant involves providing legal services on a pro-bono, reduced fee, or court awarded fee basis to underrepresented persons or organizations.

Biographical Information

(do NOT enter your Social Security Number)
* Email is our primary method of contacting you. Please provide a email which you will check regularly and notify us of any changes.

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


Choosing a preferred mailing address is important in case payment is made by paper check. We encourage all participants to sign up for EFT to receive funds electronically and avoid lost checks. This is a different EFT account than that which you had as a student.

Do you anticipate a marital status change in the next year?

(as defined by the federal tax code)


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).

Loan Indebtedness Information
Only first time applicants must complete the information in this section for all of their educational loans (both federal and private). Use the spaces provided to attach documentation of your total loan balance. Interest rates can be found by logging into your loan servicer's portal. For loans of the same type, please average the interest rates.

For the classes of 2013 and beyond, Perkins, FFEL, Bar Study, and Private loans do not qualify for LRAP support. Only Direct loans are eligible for LRAP support and for the federal Public Service Loan Forgiveness program.

Are you a continuing applicant and receiving support for a private loan? Please attach your most recent billing statement for private loans.

For the IDR track, please attach your most recent IDR approval letter or statement which should show your approved monthly payment amount and when that payment amount expires. Because your IDR payment amount will change every 12 months when you recertify your income to renew your IDR plan, please provide the date you anticipate your IDR payment amount will change. This will ensure that your LRAP award is as accurate as possible.

Berkeley Law Loans
Amount Borrowed Current Outstanding Balance Monthly Payment Average Interest Rate(%) Loan Type Documentation of Your Loan Balance
Berkeley Law Direct Subsidized or Unsubsidized Loans
Berkeley Law Direct Subsidized or Unsubsidized Consolidation Loans
Berkeley Law Perkins Loans
Berkeley Law Direct Grad PLUS Loans
Berkeley Law Private Educational Loans
Other Berkeley Law Loans
Law/Graduate School Loans (Non-Berkeley Law)
Amount Borrowed Current Outstanding Balance Monthly Payment Average Interest Rate(%) Loan Type Documentation of Your Loan Balance
Direct Subsidized or Unsubsidized Loans (Non-Berkeley Law)
Direct Subsidized or Unsubsidized Consolidation Loans (Non-Berkeley Law)
Perkins Loans (Non-Berkeley Law)
Direct Grad PLUS Loans (Non-Berkeley Law)
Private Educational Loans (Non-Berkeley Law)
Other Non-Berkeley Law Loans
Undergraduate Loans
Amount Borrowed Current Outstanding Balance Monthly Payment Average Interest Rate(%) Loan Type Documentation of Your Loan Balance
Direct Subsidized or Unsubsidized Loans (Undergraduate)
Direct Subsidized or Unsubsidized Consolidation Loans (Undergraduate)
Perkins Loans (Undergraduate)
Other Undergraduate Loans (Undergraduate)
Amount Borrowed Current Outstanding Balance Monthly Payment
Total Debt

If you have additional documents that you are unable to attach to this application please email them to

Financial Statement Please report anticipated gross income for the next 12 months. If you are married, your spouse's income must be reported. If you and/or your spouse are expecting a significant salary increase or decrease over the next year, please email with details. If you can expect an annual bonus or other salary increase, please include that information.
Applicant Spouse
Wages and Salaries
Taxable Interest Income
Dividend Income
Business Income
Unemployment Compensation
Rental Income
Trust Fund Income
Other Income (please specify below)
Total Income

Employer Information
Please complete this information as accurately as possible. If you are married, please provide information regarding your spouse's employment
Applicant Spouse
Name of Supervisor
Street and Apt #
City, State, Zip
Employer/Supervisor Phone #
Employment Starting Date (and ending date if applicable)
Annual Salary
Full Time/Part Time
Hours per Week
Brief Job Description


First-time applicants must attach a copy of their total loan indebtedness, published job description, and a personal statement.

All applicants must submit an LRAP Employer Verification Form (see our Forms Page), as well as a published job description if the official job posting does not indicate that a J.D. is required. We need an LRAP Employer Verification Form recently signed by your employer that includes your salary, job title and duties, and start date. Please do not send us a PSLF Employment Certification Form or verification of your employment that does not include this information.

For participants on the IDR track, please submit or email proof of your monthly IDR payment amount. This documentation should include when that payment amount began and when it expires. Please do not include your IDR application, as it includes sensitive information like your SSN. We only need your IDR approval letter or payment schedule.

(Employer Verification form is required and can be signed by supervisor or HR. Only submit official job description if the position does not require a J.D.)

(Required for first-time applicants only)

(Required if on the IDR track)

Additional documentation may be requested and can be emailed to The length of your participation based on this application is subject to the discretion of the Financial Aid Office but is typically granted in 6 to 12 month participation periods.

I understand I must notify LRAP if any of the above information changes after the submission of this application, and that e-mail is the primary means of communication used by the LRAP office. Lastly, I understand that my LRAP eligibility will be calculated based on the information contained on this application. Should the information change, I may be required to return a portion of the LRAP funding I receive. I understand that if approved for LRAP funding, I will need to document proof of my income, employment, and student loan payments to the LRAP office following each participation period.