Donate Today!

Help NC LEAF continue supporting public interest lawyers.

 

Contact Us

Feel free to contact us for more Information:

(919) 845-6089
ehall@ncleaf.org

More contact information 

User login

LEAF Application Form

NC LEAF

NORTH CAROLINA LEGAL EDUCATION ASSISTANCE FOUNDATION
Loan Repayment Assistance Program

217 E. Edenton St. phone: (919) 845-6089
Raleigh, NC 27601-1015 e-mail: ehall@ncleaf.org
www.ncleaf.org

2017 NC LEAF APPLICATION

INSTRUCTIONS

  1. Application: Complete and sign the 2017 Application form.  
  2. Proof of Employment: Complete the top portion of the Participant Employment Certification Form and have your employer complete the lower portion of the form.
  3. Program Guidelines: Please read the 2017 NC LEAF Program Guidelines. By completing this application, you agree to abide by the LEAF Loan Repayment Assistance Program Guidelines, in full. In the event that you fail to comply with the Guidelines, you may be dismissed from the program.

PERSONAL INFORMATION - Use "N/A" for all fields that do not apply. 

999-99-9999

99-99-9999

Street and Apt #, if applicable

999-999-9999

999-999-9999

abc @ xyz.com

abc @ xyz.com

MM-DD-YYYY. NOTE: If you graduated prior to October 1, 2006, you are NOT ELIGIBLE for NC LEAF funding, per the 2016-17 Program Guidelines.

MM-DD-YYYY

MM-DD-YYYY

 

APPLICANT'S EMPLOYMENT INFORMATION - Use "N/A" for all fields that do not apply. 

Include suite #, if appropriate

Describe the nature of the work.

$

including longevity, if applicable

 

APPLICANT'S LAW SCHOOL EDUCATIONAL DEBT - Use "N/A" for all fields that do not apply.

 

Law School Loans Name of Lender
Original
Amount

Borrowed**
Current
Principal

Balance
Monthly
Payment
Required
*Loan
Repayment
Status

In the SINGLE PDF FILE that you are sending to LEAF (info@ncleaf.org), please include: a copy of your Federal Student Aid Summary from the National Student Loan Data System (www.nslds.ed.gov); your payment history for the past twelve (12) months; proof of the amount of your payment(s) and due date(s); and proof of your total loan balance. Because the forgibable loans to you will be in the form of payments to the lender(s) on your behalf, please be sure to include the PAYMENT ADDRESS and YOUR ACCOUNT NUMBER for each lender.

*For any loan that is in grace, deferral or forbearance, please indicate date first payment is due and estimated monthly payment.

Check the following statements that apply to your loans.

All of the funds included in the principal of the loans consolidated and otherwise, listed above were borrowed for law school education-related expenses only.

If not, the following loans include funds borrowed for law school and other purposes:

$
$
$
$

 

COORDINATION WITH OTHER LOAN REPAYMENT ASSISTANCE PROGRAMS

A requirement of the NC LEAF Loan Repayment Assistance Program is that each Applicant first pursue and exhaust all other sources of loan repayment assistance, forgiveness, and cancellation that are available to the Applicant. See 2017 LEAF Program Guidelines

Please read carefully. Answer the questions, initial, and date.

A. LAW SCHOOLS. Your law school may have its own Loan Replayment Assistance Program (LRAP).

IF YOUR LAW SCHOOL HAS AN LRAP PROGRAM, YOU ARE REQUIRED TO APPLY TO SUCH PROGRAM FOR ASSISTANCE. Documentation of your application for assistance and the outcome of the same is REQUIRED; please email it to info@ncleaf.org

You are advised that while NC LEAF will consider your completed application for funding, you will not receive any NC LEAF assistance until we receive documentation of the status of your application to your law school's LRAP and award, if any.

 

CERTIFICATION

All of the information on this form is true and complete to the best of my knowledge and belief. I understand that if I am selected to participate in this Program, I may be required to provide authorizations to enable NC LEAF to periodically verify loan and employment information. If I am selected to receive loan repayment assistance, I give permission to NC LEAF to use my name and publicize the fact that I received this assistance. By submitting this Application, I acknowlege and agree to the 2017 NC LEAF Program Guidelines. Finally, I understand that this Application is not complete and will not be considered without appropriate employer information and lender verification information, and all attachments required by this application.

 

PRINT YOUR APPLICATION BEFORE YOU SUBMIT

 

We strongly recommend that you print this application before submitting it. You will not be able to return to this online form after you click Submit. Use the browser's print function to send this page to your printer.