APPLICATION MUST BE SIGNED AND FAXED TO CAMPUS
Page 1 of 2
This Section for School Use Only
Acoustic Edge Inst (575)
Requested Term of Loan
Length of Class
Tuition Amount
Months
Months
Class Start Date
Monthly Payments
Program
ph: 281‐893‐7755 / 866‐634‐3343
Contact:
Interest Rate
Other Charges
fax: 281‐893‐7754
Explanation of other Charges
$
$
Cash Down Payment
Loan Amount
Other Loans in connection with this transaction
$
$
$
PICK the PROGRAM
CREDIT APPLICATION
APPLICANT INFORMATION
Birth Date (mm/dd/yyyy)
Social Security Number
First Name
Middle Name
Last Name and Suffix
Spouses First Name
Spouses Middle Name
Spouses Last Name and Suffix
Spouses Social Security Number
Spouses Birth Date (mm/dd/yyyy)
Do you live with Parents
Present Street Address [Include Apartment Number if Required]
City
Married Single Separated
Yes No
State/Province
Zip/Postal Code
Time at address
Years Months
Home Phone Number
Select One
Cell/Mobile Phone Number
Monthly Payment
Mortgage Balance
E‐Mail Address
Property Type (Select One)
Own
Rent
Single family Condo/Apt Manufactured Home
Driver's License Number
State/Province of Issuance
DL Expiration Date (mm/dd/yyyy)
Are you a US Citizen?
Yes No
Has your license ever been revoked? If Yes, please explain
Yes No
EMPLOYMENT INFORMATION
If you are not employed, check here
Employer Name
Employer Phone Number
Since
Position/Title
Gross Income
Per Month
Month Year
OTHER MONTHLY INCOME
You do not need to include alimony, child support, or separate maintenance if you do not wish to have it relied on to establish your credit worthiness.
SPOUSE EMPLOYMENT INFORMATION
Source
If spouse not employed, check here
Employer Name
Position/Title
Amount of Income
Employer Phone Number
Since
Gross Income
Month Year Per Month
CREDIT INFORMATION
Checking Account
Balance
Savings Account
Balance
Are you delinquent on any debts? If yes, please explain.
Yes No
Major Credit Cards
Yes No
Have you ever filed for bankruptcy?
Yes No
If yes, date filed:
Are there any Judgments against you?
Yes No
Credit Application Page 2 of 2
PERSONAL REFERENCES: IN ORDER TO FINANCE YOUR EDUCATION, YOU MUST PROVIDE ACCURATE INFORMATION. DO NOT LIST CHILDREN WHO ARE CURRENTLY LIVING WITH YOU. A VALID PHONE NUMBER AND ADDRESS FOR EACH OF YOUR REFERENCES IS NECESSARY.
Your Father (First /MI/Last and Suffix)
Phone Number
Street Address [Include Apartment Number if Required]
City
Your Mother (First/MI/Last and Suffix)
State/Province
Zip/Postal Code
State/Province
Zip/Postal Code
State/Province
Zip/Postal Code
State/Province
Zip/Postal Code
State/Province
Zip/Postal Code
Phone Number
Street Address [Include Apartment Number if Required]
City
Your Brother/Sister (First/MI/Last and Suffx
Phone Number
Street Address [Include Apartment Number if Required]
City
Personal (First/MI/Last and Suffix)
Phone Number
Street Address [Include Apartment Number if Required]
City
Personal (First/MI/Last and Suffix)
Phone Number
Street Address [Include Apartment Number if Required]
City
FAIR CREDIT REPORTING ACT NOTICE TO CONSUMER
You agree that your Application will be submitted to PARAMOUNT CAPITAL GROUP, INC., and/or its affiliate, subsidiary or successor in interest ("PCG"), for PCG's consideration as to whether you meet its requirement.
You represent that all of the information you provide to us in you Application is true and correct to the best of your knowledge, and may be relied upon by us. You authorize the School and its Representative, Agent or Assignee to make whatever inquiries it deem necessary in connection with this application and in the course of review or collection of any credit extended in reliance on this application. You further authorize any person or Consumer Reporting agency to complete and furnish to the School and its Representative, Agent or Assignee any information that it may have or obtain in response to such inquiries, and agree that such information, along with this application shall remain they property of Schools and its Representatives, Agents or Assignees, whether or not credit is extended. A photocopy of this form is to be treated as an original. In the event that any the above information proves to be false or incomplete this application will be denied.
Applicants Signature:
Print Applicants Name:
Social Security Number:
Date: