Postgraduate Degree Tuition AssistancePostgraduate Degree Tuition AssistanceInterest Free Loan Application"*" indicates required fields1Borrower + Loan Information2Co-signer InformationLegal name of Borrower*The legal name of the Borrower is the name the government recognizes the Borrower by. This can be the name on the Borrower’s birth certificate, passport, or any official government documentation. First Last Email*The best email to reach the Borrower. Phone Number*The best number to reach Borrower.Address of Borrower*The address of the Borrower is the Borrower’s place of residence. In the event this address changes, the Borrower will immediately notify the Gemach in writing. The Borrower must reside in Metropolitan Detroit, Michigan at all times of the loan. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Postgraduate degree*For example: Masters in Accounting, Masters in Counseling, Masters in Applied Behavior Analysis, Masters in Speech Language Pathology, Juris Doctor, etc.Institution offering postgraduate degree*The name of the institution that will be providing the program. Note that the loan amount will be made payable to this institution.Proof of acceptance into program*Proof of Borrower’s acceptance into the program on a document issued by the institution is required.Max. file size: 256 MB.Start Date*The date the Borrower will begin the program. MM slash DD slash YYYY Completion Date*The date the Borrower expects to complete the program. MM slash DD slash YYYY What is the Borrower’s planned schedule to complete the program?*List the progress through the program the Borrower expects to make, in a measurable way. For example: 12 credits will be completed each semester; the program has three parts, and each part will be completed in one year; etc.What will the Borrower provide to the Gemach each year showing that he/she is progressing along the planned schedule?*The Borrower will need to furnish the Gemach with something that demonstrates he/she is still actively involved in the program and making the progress the Borrower expected to make (i.e. in line with what Borrower outlined in the response to the prior question). Along with this, Borrower will provide proof of good standing, which shows that the Borrower is still actively enrolled in the program, and has so far fulfilled their obligations in the program.Total tuition cost*Can include: tuition, registration fees, course materialsLoan amount sought*The loan amount cannot be more than 67% of the total tuition cost.Attach proof that the program costs this amount*The supporting proof must be on a document issued by the institution.Max. file size: 256 MB.What is the Borrower's plan to cover the program costs not paid by the Gemach?*Borrower must demonstrate a plan/arrangement to cover the portion of cost not paid by the Gemach.Attach the payment schedule the Gemach would use to make payments to the educational institution*The Gemach will use this to make tuition payments to the educational institution. List the dates or date ranges that each payment must be made in, and the amount of each payment. The total of all payments in this schedule will match the total loan amount.Max. file size: 256 MB.The Cosigners must agree to immediately make any payments that are not fully satisfied in a timely manner by the Borrower. This includes quarterly payment amounts, the full outstanding amount of the loan in the event the Borrower fails to meet an obligation in the Loan Agreement, and any court or Beis Din costs – and the Gemach’s reasonable expenses - necessary to enforce missed obligations. Cosigners cannot be the Borrower’s spouse, child, son-in-law, or daughter-in-law. The two Cosigners on a single loan cannot be spouses. Cosigners cannot be a Rabbi with an administrative role in a communal institution. Cosigners must be at least 25 years of age, cannot have an outstanding loan of their own with the Gemach, or have a past loan with the Gemach that experienced a default. After the submission of this application, you will receive an email with the Cosigner Acknowledgement forms for each Cosigner.Cosigner 1Legal Name* First Last Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relation to borrower*Cosigner 2Legal name* First Last Email* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relation to borrower*Signature of Borrower*Date signed* MM slash DD slash YYYY By clicking “Submit,” you agree that you are adopting the following as your “Electronic Signature” in accordance with the E-Signature Act and Michigan’s Uniform Electronic Transactions Act: 1) clicking “Submit” in connection with any application; 2) by writing your signature via a mouse, finger, or stylus; and 3) by any other method permitted by us to express consent or agreement to an application or document. In addition, you agree that your Electronic Signature shall have the same effect as if you had signed the Document or electronic record in ink. Further, by applying your Electronic Signature, Borrower acknowledges that the terms of this Application will be integrated into any loan agreement they enter into with the Detroit Economic Gemach, the information is true, accurate, and complete as the date submitted.CAPTCHA