Employee Hardship Loan Application

Job Status
Max. file size: 50 MB.
Please upload statements, bills, invoices, etc.
I have read and understand the policy for the Employee Hardship Loan.(Required)
I certify that all information contained in this application is true, correct and falsification of information may result in denial and/or corrective action.(Required)
I understand that to obtain a loan under the Employee Hardship Loan Policy, I must remain in good standing from the time of application until repayment of the loan.(Required)
I understand that to obtain a loan under the Employee Hardship Loan Policy, I must remain in good standing from the time of application until repayment of the loan.(Required)
I understand there is a repayment requirement and the Employee Hardship Loan Contract that will be signed by me when I receive my loan check.(Required)
I understand there is a repayment requirement and the Employee Hardship Loan Contract that will be signed by me when I receive my loan check.(Required)
I understand that if I leave Cheyenne Regional employment prior to the end of my repayment period, I will repay Cheyenne Regional the remaining balance of my Employee Hardship Loan from my final paycheck. If there are not sufficient funds to pay my remaining balance, I agree that I will be billed for the balance owed.(Required)
I understand that Cheyenne Regional reserves the right to amend or terminate the offering of the Employee Hardship Loan, at any time.(Required)
I understand that this is not a contract of employment, and that all employment with Cheyenne Regional is voluntary and at-will, meaning that I or Cheyenne Regional have the right to terminate the employment relationship at any time, for any reason or no reason, and that this agreement does not alter that at-will employment relationship.(Required)
I understand that Cheyenne Regional reserves the right to amend or terminate the offering of the Employee Hardship Loan, at any time.(Required)
I am in good standing and not on corrective action.(Required)
I do not currently have an Employee Hardship Loan.(Required)

Quick Menu