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Online Application – TESTING ONLY

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Loan Repayment Assistance Program

2024 NC LEAF Application

Deadline: December 10, 2023

Before starting your application, please collect (and scan if necessary) the following documentation:

  • A copy of your Federal Student Aid Summary from the National Student Loan Data System
  • Your loan payment history for the past twelve (12) months showing the amount of your payment(s) and due date(s).
  • Proof of your total loan balance
  • Completed Employer Certification Form
  • Copy of your most recent Federal 1040/1040A/1040ez tax return. Page 1 Only - showing your AGI.
  • Completed Spouse / Domestic Partner Employer Certification Form (if applicable)
  • Copy of your Spouse / Domestic Partner's recent Federal 1040/1040A/1040ez tax return. Page 1 Only - showing their AGI. (if applicable and you file separately)
All files should be saved as PDFs.

Applicant's Personal Information

Name*
Date of Birth*
Address*

Applicant's Employment Information

Employer Address*
Supervisor's Name
(if applicable)
(if applicable)
Date of Hire*
If you answered "yes," NC LEAF will follow up with you for more information.
Select all the apply.
Hold Ctrl and click on a PC or command and click on a Mac to select multiple locations.

Applicant's Law School Education Debt

Law School Loan #1

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

Next Payment Due Date

If you have consolidated other education loans, you may be asked to provide further information.

Applicant's Law School Education Debt

Law School Loan #2

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

Next Payment Due Date

If you have consolidated other education loans, you may be asked to provide further information.

Applicant's Law School Education Debt

Law School Loan #3

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

Next Payment Due Date

If you have consolidated other education loans, you may be asked to provide further information.

Applicant's Law School Education Debt

Law School Loan #4

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

Next Payment Due Date

If you have consolidated other education loans, you may be asked to provide further information.

Applicant's Law School Education Debt

Law School Loan #5

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

Next Payment Due Date

If you have consolidated other education loans, you may be asked to provide further information.

Applicant's Law School Education Debt

Additional Lenders

Include Name of Lender, Original Amount Borrowed, Current Principle Balance, Required Monthly Payment, Loan Repayment Status, Next Payment Due Date, Information on Consolidation, and Amounts Related to Law School.
Accepted file types: pdf, Max. file size: 50 MB.

If your law school or employer has a Loan Repayment Assistance Program, you are required to apply to such program for assistance.

Accepted file types: pdf, Max. file size: 50 MB.

Application Essay / Short Answer Questions

Compose an essay describing your commitment to public interest law. This essay is a heavily weighed component of the application. If you are reapplying to NC LEAF, you may use your essay from the previous year. (limit: 1250 characters max)
(limit: 500 characters max)
(limit: 500 characters max)

Additional Required Documents

  • A copy of your Federal Student Aid Summary from the National Student Loan Data System
  • Your loan payment history for the past twelve (12) months showing the amount of your payment(s) and due date(s).
  • Proof of your total loan balance
  • Copy of your most recent Federal 1040/1040A/1040ez tax return. Page 1 Only - showing your AGI.
  • Completed Employer Certification Form
  • Completed Spouse / Domestic Partner Employer Certification Form (if applicable)
Accepted file types: pdf, Max. file size: 50 MB.

Accepted file types: pdf, Max. file size: 50 MB.

Accepted file types: pdf, Max. file size: 50 MB.

Accepted file types: pdf, Max. file size: 50 MB.

Accepted file types: pdf, Max. file size: 50 MB.

Accepted file types: pdf, Max. file size: 50 MB.
Certification*
  1. All of the information on this form is true and complete to the best of my knowledge and belief.

  2. I understand that if I am selected to participate in this program, I will be required to provide authorizations to enable NC LEAF to periodically verify loan and employment information.

  3. By submitting this application, I acknowledge and agree to the NC LEAF Program Guidelines.

  4. 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.

Submission Review

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217 East Edenton Street
Raleigh NC 27601-10155

info@ncleaf.org

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