Graduate Incentive Scholarship Program
Request for Deferment
 
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            Name:

Street Name: 

               City:

       Zip Code:

              SS #:

Date Student Left the Institution:

This is to Certify that I am (Check Only One)

     Recently Employed Working in South Carolina and wish to defer my loan for a period of one year to cancellation

         Date of employ :

Serving an internship/residency. 

Type of Program:

Institution name:         

Requesting cancellation of up to $5,000 of my loan for each year of employ within the State of South Carolina.

 

             State:

Date of Birth:

Lending Institution:

Additional Comments!! :