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THE SOCIETY OF MARINE PORT ENGINEERS
NEW YORK, NY, INC.
Scholastic Loan Application |
Applicants and their parents or guardians are requested to familiarize
themselves with the Requirements for Scholastic Loans before filing in this application. The
applicant's parent or guardian must be a member in good standing with the Society for a minimum of three years in
order to qualify. The Board of Directors will determine the maximum amount of each annual loan.
STUDENT'S APPLICATION FOR A LOAN FROM
THE SCHOLARSHIP FUND
Student Name:
Social Security #:
Home Address:
Phone #:
Date of Birth:
Age:
Sex:
High School Address:
Graduation Date:
Have you previously been enrolled in any post secondary school? If so,
give name, address of school,
and years attended:
Have you been accepted for enrollment or are you presently enrolled at
an institute of higher education?
If so, gave name and address of institute course of study and
anticipated degree:
When do you expect to be graduated from above institute of higher
education?
If the academic period covered by the requested loan is in graduate
study, what undergraduate school did you attend, what degree have you received, what date?
CERTIFICATION OF APPLICANT:
I certify that the information given herein is true and correct, and the Society is hereby authorized to verify same. The funds for
which application is made are necessary to permit me to pursue my education and will be used solely for that
purpose. I fully understand my obligations incurred by the acceptance of this loan, both as to usage of the sum
provided and conditions agreed for repayment.
Signature of Applicant:
Date:
TO BE COMPLETED BY THE S.M.P.E.
MEMBER PARENT OR GUARDIAN
Member Name:
Home Address:
Phone #:
Membership Status:
Date Joined:
CERTIFICATION OF MEMBER:
I have read the foregoing application in full and hereby state that to
my knowledge my child is applying for aid to further his/her education
at the above listed school.
Signature of Member:
Date:
PROMISSORY NOTE
I/WE promise to repay the S.M.P.E the full amount of the loan received,
which will be interest free, under the following conditions: Payment is to be made for each one year loan
beginning in the fifth year after the loan date, after completion of a normal four year program. Each
one-year loan is to be repaid within twelve months of the termination of the student’s studies, even if not
graduated. Payments may be made monthly at the rate of one-twelfth the amount of the loan. For example, a $1,500.
loan would be repaid at the rate of $125. per month. The student agrees to keep the Society informed
regarding changes in his/her address and telephone number.
I/We acknowledge that if timely repayment is not made in
accordance with the conditions above, interest will accrue at the rate of one percent per month on
the unpaid balance until the loan is repaid in full. We acknowledge and accept all the
stipulations of the scholarship loan information for applicants and their parents or guardians.
Signature of Applicant:
Date:
Member Co-Signature
Date:
