A COMMUNITY Foundation with a

Mission to enhance the quality of life

For the people of Mercer County, Ohio

By Cultivating, Managing & Disbursing

Charitable Resources 419-586-9950

Since 1960

To the Student Loan Applicant:

The Mercer County Civic Foundation is a countywide community foundation. A number of our funds were established to make small loans to MercerCountyHigh School Students for accredited college/university/tech school study. Funds available to students will vary each year, depending on new gifts, investment gains, and how many prior loan repayments have been received.

Enclosed is an application for a student loan. The Board of Directors meets in mid summer to determine how many loans can be made. You will be notified after this meeting about the status of your loan application.

Please be aware of the following points:

1. Loan repayments begin six (6) months after graduation.

2. If you drop out of school, repayments must begin ninety (90) days after failure to enroll in the next quarter/semester.

3. All loans are interest-free until six (6) months after graduation. You will be notified when your loan is due to begin repayment. If you choose to repay the entire loan within the 6 months grace period, no interest will be charged. If you wish to repay on a regular monthly schedule after that time, you will receive a payment book. The interest rate charged will be 4%, still well below the current federal student loan rate.

Students are limited to loans of $1,500/year for four (4) years of undergraduate study only. We make commitments for only one year at a time. If you want an additional loan for next year, we ask that you return a short renewal application by June 15 of next year.

We hope this letter and application together answer your questions about the student loan program. Please call our office if you have any further questions.

Sincerely,

Carol A. Hone

Executive Director

MercerCounty Civic Foundation

119 W. Fulton St., P O Box 439, Celina, Ohio 45822

Student Loan Application must be returned by June 15th

Name______Address______

City______State ______Zip ______Phone ______Age ______

Applicant’s Social Security # ______

Parent’s Names and Addresses:

______

______

Brothers/Sisters and their ages:

______

If Married: Spouse Name ______Children? ______Ages? ______

Educational Background

High School ______Graduation Date: ______

Class Rank _____ out of ______Most Recent GPA ______Most Recent CUM GPA ______

If you attend college, where ______For How Long ______

If you attend college, you most recent GPA ______Cumulative GPA ______

Future Plans

What college do you plan to attend ______Major ______

(Please note: Only students attending accredited schools will be considered for a loan.)

When do you expect to graduate ______

Will you be working while in school ______How many hours ______

What are your present debts ______Income ______

Will your parents (spouse) give you financial assistance ______

Do your parents (spouse) understand they must co-sign the note ______

Please supply the co-signer’s (Parent/Guardian or Spouse) Social Security Number

Name ______SS# ______

Additional Information

Please list any extracurricular activities/events (job, school, church, etc.):

______

______

______

Have you received any special awards or recognition?

______

______

Briefly, tell us your plans for the future:

______

______

______

______

Please submit two (2) recommendations from teachers or job supervisors. Forms included.

Student Obligation

Repayment of Loan: Loan amount will be $1,500. You and your co-signer will be required to sign a promissory note for the loan. You must begin repayment of the loan 6 months after graduation, or 90 days after failure to re-enroll for the next term. Interest of 4% will begin to accrue when the loan becomes due. If the loan is repaid within the 6 months grace period, no interest will be charged.

Additional Loans: If you would like to request another loan for your next year of school, you must complete a short renewal application. Please return renewal applications before June 15th of the following year. Additional renewal applications are available at the Foundation Office.

Please Note:

1. The Civic Foundation limits the loan program for undergraduate students only.

2. Students are limited to four loans, so that other students may take advantage of the loan program.

The undersigned consents to release of student status and grade information to the Foundation. A photo copy of this release shall be valid at anytime any application or loan is outstanding.

You will be notified about the status of your loan application after the Board of Directors has made its decision.

Date: ______Student Signature: ______

A COMMUNITY FOUNDATION with a

Mission to enhance the quality of life

For the people of Mercer County, Ohio

By Cultivating, Managing & Disbursing

Charitable Resources 419-586-9950

Since 1960

PERSONAL RECOMMENDATION – DUE JUNE 15TH

Student Name ______

INSTRUCTIONS TO APPLICANT: Give these forms to 2 teachers to complete, along with a stamped envelope addressed to the foundation. The teacher must mail the forms to the Foundation office.

INSTRUCTIONS TO TEACHER: This student has applied for a loan through the Foundation. Please fill in the blanks below about this student, and mail to the Foundation office. Thank you for your time and cooperation!

On a scale of 5 (the Best) to 1 (the Worst), please score the student on these traits:

Accepts Responsibility ______

Attitude in Class ______

Completes Assigned Work ______

Respects the Rights of Others ______

Work and Study Habits ______

Please make comments you deem appropriate regarding the above named student. These comments will be held in confidence by the Foundation:

______

______

______

______

______

______

Print teacher name ______Subject area ______

Teacher signature ______School ______

A COMMUNITY

FOUNDATION with a

Mission to enhance the quality of life

For the people of Mercer County, Ohio

By Cultivating, Managing & Disbursing

Charitable Resources 419-586-9950

Since 1960

PERSONAL RECOMMENDATION – DUE JUNE 15TH

Student Name ______

INSTRUCTIONS TO APPLICANT: Give these forms to 2 teachers to complete, along with a stamped envelope addressed to the foundation. The teacher must mail the forms to the Foundation office.

INSTRUCTIONS TO TEACHER: This student has applied for a loan through the Foundation. Please fill in the blanks below about this student, and mail to the Foundation office. Thank you for your time and cooperation!

On a scale of 5 (the Best) to 1 (the Worst), please score the student on these traits:

Accepts Responsibility ______

Attitude in Class ______

Completes Assigned Work ______

Respects the Rights of Others ______

Work and Study Habits ______

Please make comments you deem appropriate regarding the above named student. These comments will be held in confidence by the Foundation:

______

______

______

______

______

______

Print teacher name ______Subject area ______

Teacher signature ______School ______