UC SAN FRANCISCO HOME LOAN PROGRAM
UCSF Nomination for Mortgage Origination Program (MOP) Participation and Allocation ReservationInstructions: This form is to be completed by a department representative, signed by the chair, and submitted to the director of academic affairs in the school’s dean’s office for review and approval. The dean’s office will submit the request to the Home Loan Program Manager. Activate only by the request of the candidate. Contact wilson.hardcastle@ucsf.edu with any questions. Candidate (Last Name, First) FORMTEXT ????? Nomination Type FORMCHECKBOX Recruitment FORMCHECKBOX RetentionEligibility confirmationRecruitment requests include signed offer letter FORMCHECKBOX Academic Title FORMDROPDOWN ? Does the candidate currently own, or has owned in the past 12 months, a primary residence in the Bay Area? FORMCHECKBOX No FORMCHECKBOX YesSchool FORMDROPDOWN Academic Department FORMTEXT ?????UC Path Employee ID FORMTEXT ????? (If not yet onboarded, enter UCSF 02 ID)? Has the candidate been a previous MOP borrower? FORMCHECKBOX No FORMCHECKBOX YesAppointment Date FORMTEXT ?????First Hire Date FORMTEXT ?????E-mail address FORMTEXT ?????If yes to either question, include a written justification for the request for a Chancellor’s Limited Purpose Certification.Appointment final? FORMCHECKBOX Yes FORMCHECKBOX No If no, Every Expectation Letter is attached FORMCHECKBOX Offered a Faculty Recruitment Allowance Program grant (FRAP)? FORMCHECKBOX No FORMCHECKBOX Yes $ FORMTEXT ?????Pay period the FRAP was FORMCHECKBOX Paid or FORMCHECKBOX Will Be Paid: FORMTEXT MM/YY FORMCHECKBOX Lump Sum or FORMCHECKBOX Installments? FORMTEXT (describe installment plan) Supplemental Home Loan Program RequestsSupplemental Home Loan Program (SHLP) FORMCHECKBOX No FORMCHECKBOX YesZero Interest Program (ZIP/ZIP-SHLP) FORMCHECKBOX No FORMCHECKBOX YesLoan Amount FORMTEXT $75,000Loan Amount FORMTEXT between $10,000 to $150,000Interest Rate FORMTEXT 2.75 % or current minimumForgiveness feature? FORMCHECKBOX No FORMCHECKBOX YesTerm FORMTEXT 15 yearsCOA for transfer FORMTEXT ?????COA for transfer FORMTEXT ?????Departments may offer a different loan amount, rate, and term within program guidelines. Default values for the standard campus SHLP are prepopulated. Required documentation:ZIP-04 ZIP Loan Advisory NoticeMust be signed by the candidate. FORMCHECKBOX AttachedCentrally-Funded Supplemental Home Loan Program (CF-SHLP)ZIP-06 Authorization FormMust be signed by the dean proper. FORMCHECKBOX AttachedLimited funding available, accessible on a first come, first serve basis. FORMCHECKBOX No FORMCHECKBOX YesZIP loans are exceptional and come with significant additional risks to the campus and the borrower. Any such offer must be in addition to a $150k FRAP grant and approved by the dean before being considered. FORMTEXT ????? FORMTEXT ?????Signature of Department ChairPrinted name Date FORMTEXT ????? FORMTEXT ?????Delegated Dean’s Signature of ConcurrencePrinted name Date ................
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