student

AREF Student Loan Application

How did you hear about AREF? :
School to attend :
Period of Loan :
Full Name :
Sex :
Age :
Birth Date :
Current Mailing Address :
City :
State :
Zip Code:
How many years at address? :
List previous address if at the above address less than two years.
Permanent Street Address :
City :
State :
Zip Code:
How many years? :
Marital Status :
Dependents :
Employer :
Work Phone :
Email :
How long a resident of Arkansas :
Home Phone :
Driver's License # :
State :
Social Security # :
Educational Experience - Beginning With High School:
Name of School :
State :
Years Attended :
Diploma or Degree :
Name of School :
State :
Years Attended :
Diploma or Degree :
Name of School :
State :
Years Attended :
Diploma or Degree :
   
Proposed Profession :
Anticipated Graduation Date :
Husband/Wife Name :
Employer :
Work Phone :
Spouse's Occupation :
Father's Name :
Street Address :
City :
State :
Zip Code:
Employer :
Home Telephone # :
Mother's Name :
Street Address :
City :
State :
Zip Code:
Employer :
Home Telephone # :
By typing your name and submitting this form you certify that the information given is true and correct. You also authorize release of your credit history from the credit bureau to Arkansas Rural Endowment Fund.
Date :
Applicant's Signature :

You may also download a pdf of the application and submit directly to: AREF Inc., P.O. Box 750, Little Rock, AR 72203 or fax to 501.375.8625

AREF(e-app) 05-08 revised | Arkansas Rural Endowment Fund, Inc., 1306 W. Fourth, P.O. Box 750, Little Rock, AR 72203, 1.800.232.5505, lender #800246