CCI Student Trust — Optional Student Questionnaire
The CCI Student Trust does not handle applications for individual students seeking to discharge or cancel their student loan debt. However, the Trust is collecting information on a volunteer basis from former students that would like to participate. The attached questionnaire requests information that is similar to what is requested by the Department of Education in connection with applications for debt relief. Responses will be used to assist the Trust professionals in focusing attention on issues facing students that are actively seeking relief.
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Date of birth (optional)
MM
/
DD
/
YYYY
The last 4 digits of the student borrower’s Social Security number (optional)
Your answer
Home address *
Your answer
Telephone number
Your answer
Email address
Your answer
Name and location of the school(s) attended
Your answer
The program of study
Your answer
Degree, certificate, or other credential attained or sought
Your answer
Dates of enrollment
From Date
MM
/
DD
/
YYYY
To Date
MM
/
DD
/
YYYY
Specific acts of misconduct or misrepresentations by the school
Please describe
Your answer
If there were misrepresentations, how were they conveyed (i.e. recruiter, online ads, TV ads, posters, information circulars, etc...)
Your answer
How did the misrepresentations, if any, affect your decision to attend the school and take out a loan to pay to attend the school
Your answer
Have you applied for a Student Loan discharge with the Department of Education or any other entity *
If it were available, would you use free legal services to assist you with any application for a student loan discharge?
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