Such person may be considered for employment only after all overdue payments have been made or a voluntary agreement has been entered into with the lender after the default providing for terms of repayment of the debt. Please circle any of the following types of loans in which you are now in default or check the statement that you are not in default. National Direct Student Loan, National Defense Student Loan, Guaranteed Federally Insured Student Loan, Nursing Student Loan, Health Professions Student Loan, Law Enforcement Education Loan. If in default, attach a separate sheet explaining what steps you are now taking to repay the loan. The federal government requires the following information to be collected for statistical reporting as a part of the University's Affirmative Action Program.
All responses are voluntary.
Refusal to answer will not result in adverse treatment of any applicant. This information is not used in the employment process nor released in a manner which identifies the individual. This form will be removed by the Employment Office prior to being forwarded for consideration.