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Internship, Fellowship, or Residency Deferment Request Form

Deferment is a period of approved, temporary postponement of interest and principal payments when the primary borrower is enrolled in a qualified internship, fellowship, or residency program. Although deferment lets you temporarily postpone your payments, if your loan(s) requires payments during the in-school and separation periods, you’ll be required to make payments during the deferment period as well. This is on the same terms as the repayment option that applied to your loans during the in-school and separation periods.

To be considered for deferment, you must complete this form. Requests must be received no less than five (5) business days prior to the beginning date requested by the client. Requests received less than five (5) business days before the desired start date will be reviewed and processed for the subsequent billing cycle. Payments remain due until approval is granted.

Submit completed forms online: Simply sign in to your account at earnest.com to upload your documents. Once the documents have been uploaded, please email hello@earnest.com to let us know your document is ready for review. For assistance, visit How can I provide Earnest with my documents? in our Help Center.

In order for a form to be considered complete, the primary borrower must complete Section 1 and sign under Section 4 and have an authorized official(s) complete and sign Section 2.

Clients who are greater than 60 days past due at the time of their deferment application may be subject to extended application processing times.

Section 1: Client Information (Primary Borrower Completes)

Client Name: ____________________________________________________________________

Client Phone Number: __________________________________________

Client Address: ___________________________________________________________________________

Account Number: __________________________________________________________________________________

Loan Number(s): ___________________________________________ If you want deferment applied to all your Earnest loans, please list each individual loan number.

Section 2: Internship, Fellowship, or Residency (Authorized Official completes)

For Internship, Fellowship, or Residency Deferment on private education loans, I certify the student named above has been accepted into an internship, fellowship, or residency program which: (1) requires the student to hold a bachelor’s degree as a prerequisite for acceptance into the program; and (2) is a supervised training program and either:

The student’s program begins/began ____ / ____ / __________ (mm/dd/yyyy) and will end/ended

____ / ____ / __________ (mm/dd/yyyy).

Note to Official: If the internship, fellowship, or residency is required for certification for professional practice or service, provide the minimum period of participation required.

Name of Internship/Residency Program: _______________________________________________

Type of Program (medical or non-medical): _____________________________________________

Name of Authorized Official (Please print): ______________________________________________

Signature of Authorized Official: ______________________________________________________

Title (Please print): ___________________________ Name of organization: ____________________

Address (Street Address/City/State/Zip): _______________________________________________

Telephone: ________________________________________ Date: ________________________

The internship, fellowship, residency in which this student is engaged is required for the student to be certified for professional practice or service in the state of: _______________________________________

Name of Authorized Official (Please print): _____________________________________________

Signature of Authorized Official: _____________________________________________________

State Licensing Agency: __________________________________________ Date: ____________

Section 3: Disclosures

Section 4: Client Requests, Agreements, Acknowledgements, and Certifications

I request a deferment on my Earnest loan(s) for the reasons specified above. I agree that I will resume making scheduled full payments of principal and interest beginning with the first payment due immediately following the expiration of the deferment period and will make all scheduled payments thereafter in accordance with the terms of my loan agreement.

By signing below, I acknowledge that I have read, understand, and agree to the information and disclosures in this form. I certify that I meet the eligibility requirements and conditions for deferment and that the information I have provided on this form and any documentation attached hereto are true and correct. I agree to notify Earnest immediately if my present situation changes.

Primary Borrower Name (print): ____________________________________

Primary Borrower Signature: _______________________________________

Important disclosure(s)

Sending documents via email If you choose to communicate with us via email, please understand that you assume all responsibility for the protection of personal information while in transit to us and should consider appropriate email security measures. These security measures should include the use of encryption, such as password protection. Additionally, be sure to contact us at the correct email address provided.

Your loan servicer Your loans are serviced by Earnest Operations LLC (NMLS# 1204917) with support from Higher Education Loan Authority of the State of Missouri (MOHELA) (NMLS# 1442770).

Student Loan Ombudsman – Massachusetts (for residents of Massachusetts, only) The Massachusetts Student Loan Ombudsman assists Massachusetts borrowers who have tried unsuccessfully to resolve a problem through customer service offices. You can contact the Massachusetts Student Loan Ombudsman at www.mass.gov/student-loan-assistance.