Student Loan Application

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Email *

Personal Information

First Name *

Last Name *

Date of Birth *

Social Security Number *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Citizenship or residency status *

U.S. Citizen

U.S. Permanent Resident (Green Card Holder)

International Student with Visa (Specify Visa Type)

Deferred Action for Childhood Arrivals (DACA) Recipient

Refugee or Asylee

Other (Specify)

Lash and Company Location *

Fort Collins, Colorado

Thornton, Colorado

Centennial, Colorado

Dearborn, Michigan

Dollar amount requested for financing? *

What is the starting month of the program you are joining? *

Which program are you enrolling in? *

Esthetics

Permanent Make Up

Cosmetic Injectables

Other

Employment Information

Are you currently employed? *

Yes

Current employer and contact information *

Annual income *

If unemployed, How do you plan to manage your repayment obligations? *

References

Reference 1: Name and Contact Information *

Reference 2: Name and Contact Information *

Loan Terms

Loan Amount
The loan amount requested and approved will be limited to the cost of tuition.
Interest Rate
The loan will accrue interest at an annual fixed rate based on credit worthiness. Interest will begin accruing on the disbursed amount as of the date of disbursement.
Loan Disbursement
Loan funds will be disbursed directly to Lash and Company to cover tuition and fees. Any remaining balance may be refunded to the student or applied to other approved expenses.
Repayment Terms
- The repayment period will be 36 months. For example: $6500 total tuition is a monthly payment of $238.26.
- Monthly payments will be calculated based on the total amount borrowed, interest accrued, and repayment period.
Prepayment
Borrowers may prepay all or part of the loan at any time without penalty.
Default and Late Payments
- A loan is considered in default if payments are 60 days overdue.
- Late payments may incur additional fees and affect the borrower’s credit score.
Co-Signer Responsibility (if applicable)
If a co-signer is required, the co-signer assumes equal responsibility for loan repayment in case of borrower default.
Loan Cancellation or Discharge
Loans may be canceled or discharged under limited circumstances, such as death, permanent disability, or closure of the educational institution.
Borrower’s Rights and Responsibilities
- Borrowers have the right to receive a full loan disclosure statement, including a schedule of payments.
- Borrowers are responsible for notifying the lender of any changes to their contact information, enrollment status, or financial situation.

Disclosure and Acknowledgment
By checking the box below, I acknowledge that:

1. I have read and understood the terms and conditions of this loan application and agreement.

2. I understand that I am responsible for repaying the loan, including interest, according to the agreed-upon terms, regardless of my academic or employment outcomes.

3. I certify that all information provided in this application is accurate and truthful to the best of my knowledge.

4. I authorize the lender to verify my enrollment status, academic progress, and other necessary information.

5. I understand that providing false or misleading information may result in the denial of this application or legal consequences.

I acknowledge and agree to the above terms.

Required

Account Information

Account Holder Name (First and Last) *

Name of Bank *

Routing Number *

Routing Number Confirm *

Account Number *

Account Number Confirm *

Submit

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