Student Assist Application

Borrower 1 (Student) Name*
First Last
Will there be a Borrower 2 / Cosigner?*
- Yes
- No
College/School Name*
Expected Graduation Date*
MM slash DD slash YYYY
Amount Requested*
The maximum amount you can request over the combined four years is $40,000 (or $10,000 made available each year of your program). You can draw from this line of credit each year whenever you need additional funds.

Borrower 1 / Student Information
Student TUMCU Member Number (if any)*
If not a TUMCU Member, type N/A.
Student Phone Number*
Student Email Address*
Student Drivers License Number*
Income Information
Student Employment Monthly Income
Student Employer Name*
Student Employer Address*
Street Address City State ZIP Code
Student Employer Phone*
Student Employment Position/Title*
Student Other Monthly Income
Describe - Student Other Monthly Income*
If student will be paying rent, enter the monthly amount.
Borrower 1 / Student Final Questions
Is the Student a US citizen or permanent resident alien?*
- Yes
- No
Is the Student a co-maker, co-signer, or guarantor on any other loan or contract?*
- Yes
- No
Describe other loan/contract.*
Has the Student ever filed for bankruptcy, or are you a party in a current lawsuit?*
- Yes
- No
Describe bankruptcy/lawsuit.*

Borrower 2 / Cosigner Information
Borrower 2 (Cosigner) Name*
First Last
Cosigner TUMCU Member Number (cosigner must already be or become a TUMCU Member)*
If not a TUMCU Member, type N/A.
Cosigner Phone Number*
Cosigner Email Address*
Cosigner Drivers License Number*
If you are renting, what is the monthly amount?
What is the Cosigner's relationship to the Student?*
Cosigner Income Information
Cosigner Employment Income*
Cosigner Employer Name*
Cosigner Employer Address*
Street Address City State ZIP Code
Cosigner Employer Phone*
Cosigner Employment Position/Title*
Cosigner Other Income
Describe - Cosigner Monthly Income*
Borrower 2 / Cosigner Final Questions
Is the cosigner a US citizen or permanent resident alien?*
- Yes
- No
Is the cosigner a co-maker, co-signer, or guarantor on any other loan or contract?*
- Yes
- No
Describe other loan/contract.*
Has the cosigner ever filed for bankruptcy, or are you a party in a current lawsuit?*
- Yes
- No
Describe bankruptcy/lawsuit.*

Common Relative Information
Please provide contact information for the nearest common relative of the student and cosigner that is not living with you.
Name of Relative (not living with you)*
First Last
Address of Relative*
Street Address City State ZIP Code
Email Address of Relative*
Phone Number of Relative*

Credit Consent
The Applicant and/or Co-Applicant promise that everything stated in this application is correct to the best of their knowledge. The Applicant and/or Co-Applicant also authorize TUMCU to obtain credit reports in connection with this application.

Borrower 1 / Student Information