Part 2: To be Completed by Source of Loan Repayment Assistance other than the Applicant's Employer
The above named individual has applied to the Emory University School of Law Loan Repayment Assistance Program. As part of the application process, we require certification as to all other sources of loan repayment assistance that the applicant may be receiving. Please complete this form and return it to: Rita Sheffey, Assistant Dean for Public Service, Emory University School of Law, 1301 Clifton Road, Atlanta, GA 30322, as soon as possible. If you have any questions, please contact us at (404) 727-1238 or Rita.Sheffey@emory.edu.