PROMISSORY NOTE EAP Study Center Emergency Loan
Study Center
I hereby acknowledge receipt of Amount from Professor
constituting an emergency loan which I promise to repay on or before Date I realize I am legally responsible for the repayment of this loan.
.
Reason for Loan:
Student’s name - printed
Director’s signature
Student’s signature
Date
Date
Authorized by
NOTICE OF REPAYMENT
FOR OFFICE USE ONLY
I hereby acknowledge that the above named student has repaid this Study Center Loan as of Date
Director’s signature
Date
RETURN TO UOEAP
Promissory Note – EAP Study Center Emergency Loan
Rev. 5/2009