UC Berkeley Private Loan Certification Request
After your loan application has been pre-approved by your lender, please complete this form in order for UC Berkeley Extension to certify your loan. UC Berkeley Extension will certify loan amounts that cover the tuition for your enrollment, as well as up to $3,000 additional funds for course materials or equipment and up to $5,000 per term for living expenses. If you are requesting amounts in excess of these estimates, please provide an explanation in the relevant field below.
Student Name *
Your answer
Student ID Number (e.g.X123456) *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City, State Zip *
Your answer
Lending Agency *
Your answer
Total Loan Amount Request *
Your answer
Please Indicate your UC Berkeley Extension Program *
Enrollment Start Date *
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Anticipated Completion Date *
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How much of this loan amount is for tuition?
Your answer
How much of this loan is for textbooks and other materials?
Your answer
How much of the request loan amount is for living expenses?
Your answer
Please list all courses you intend to enroll at this time. Include Course Name (e.g. BUS ADM), Number (e.g.X400.4) and Section (e.g. 011) or the program, such as Bootcamp or Concurrent. *
Your answer
I certify that all information provided here is true to the best of my knowledge. I understand that I am financially liable for all enrollments with UC Berkeley Extension. Please type your full legal name below. *
Your answer
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