Are you a GCU member?

yes no

Did you graduate or complete post secondary education prior to December 2019?

yes no

Have you received the GCU Debt relief award in 2022?

yes no

Have you been making repayments on the loan for at least 24 Months?

yes no

*Name and Address of CURRENT Student Loan Lending Company

*Student Loan Account Number

*Name:

*Date of Birth

*Social Security Number:

*Home Address:

*Home Phone Number:

*Mobile Phone Number:

*E-Mail Address (this will be used for all correspondence):