A M Commerce Employee Scholarship Program Promissory Note Employee s

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A & M Commerce Employee Scholarship Program Promissory Note Employee’s Name_________________________________________________Amount of loan $_____________________________ (Last) (First) (M.I.) Physical Address_____________________________________________________________________________________________ (Street) (City) (State) (Zip) ID Number________________________________________ Telephone Number________________________________ Date of Birth______________________________________________Driver’s License_____________________________________ (State) (Number) For Financial Services office: Employee Services approval_____________________Date_______________ Semester: Fall 2008 Due Date: December 12,2008 Commerce, Texas _________________________ (Date) I understand the Employee Scholarship offer becomes a loan, if I do not complete the course or a “C” or better is not attained in my coursework, due without grace, on or before 12-12-2008 and payable at the Financial Services Office, A&M Commerce, P.O. Box 3011, Commerce, TX 75429-3011. In the event my grade is below a “C” or I do not complete the course, I promise to pay A&M Commerce $____________________________________Dollars. If this note is not paid at maturity, this Employee Scholarship loan is subject to referral for collection and will be reported to national credit bureaus. If this loan is not paid by the due date and is placed in the hands of a collection agency additional late charges and collection fees (33.333%-50%) on the principal shall be added for collection. In case of nonpayment, the University has the right to hold all transcripts, diplomas, future registration and other benefits until full payment is made. A late fee will be assessed if this loan is not paid in full ON OR BEFORE the due date. Maker will report all name and address changes to the University. I have read and agree with the terms of this agreement as stated. _________________________________________ Signature of Maker ________________________________________ Social Security Number Employee’s Name______________________________________________Due Date 12/12/2008 This will serve as proof of application for an Employee Scholarship in the amount of $____________________________________________ For the Fall 2008 semester. If a “C” or better is not attained in my coursework, this scholarship will become a loan and a late fee will be assessed if this loan is not paid in full ON OR BEFORE the due date. This loan is subject to referral for collection if not repaid by the due date. Borrower will be responsible for all court costs and collection fees (33.333%-50%) associated with the collection of this account. Collection agency will report account to national credit bureaus. _____________________________________________ Scholarship Office _____________________________________________ Date

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