Health Resources and Services Administration |
Bureau of Health Professions |
Division of Health Careers Diversity and Development |
General Guidance to Capture Sample Promissory Note Templates and List of Data Fields |
If you use Microsoft Internet Explorer 6.0: |
To copy the Promissory Note Templates in HTML using Microsoft Internet Explorer 6.0 please follow the following directions. |
1. Open the HTML page by selecting the appropriate form from the"HTML Sample Form" column. |
2. Right click on the page and select "View Source". |
3. Click on "File" on the menu bar, then select "Save As." |
4. Select the folder to which you would like to save the file, then click on "Save." |
If you use Netscape Navigator 6.0: |
To copy the Promissory Note Templates in HTML using Netscape Navigator please follow the following directions. |
1. Open the HTML page by selecting the appropriate form from the"HTML Sample Form" column. |
2. Right click on the page and select view source |
3. Highlight everything on the page by pointing your cursor to the upper left corner of the document; left click and hold the button while dragging the cursor to the very bottom right of the document. |
4. Hit the "C" key while holding the Control ("Ctrl") key. This will copy the document. |
5. Create a new blank document in your Text Editing software. |
6. Left click on the blank document then Hit the "V" key while holding the control ("Ctrl") key. This will paste the file into the document. |
7. Save the new document. |
Data Fields | ||||
FIELD NAME | FIELD DESCRIPTION | FIELD TYPE | FIELD SIZE | |
FirstName | First Name | Text | 20 | |
Initial | Middle Initial | Text | 1 | |
LastName | Last Name | Text | 20 | |
SchoolName | Institution Name | Text | 60 | |
SchoolCity | City | Text | 20 | |
SchoolState | State | Text | 2 | |
DateM | Date | Text | 10 | |
SignatureOfBorrowerM | Signature of Borrower | Text | 30 | |
Address1 | Address Line 1 | Text | 50 | |
Address2 | Address Line 2 | Text | 50 | |
SocSec | Social Security Number | Text | 9 | |
Date of Birth | Date of Birth | Text | 10 | |
BorrowerInitialYes | BorrowerInitial (Yes) | Text | 4 | |
BorrowerInitialNo | BorrowerInitial (No) | Text | 4 | |
SchoolEnterDate | School Entrance Date | Text | 10 | |
SchEnterDateInitial | Borrower Initial (School Entrance Date) | Text | 4 | |
SchoolExitDate | School Exit Date | Text | 10 | |
SchExitDateInitial | Borrower Initial (School Exit Date) | Text | 30 | |
RECORD NUMBER | FIELD NAME | FIELD DESCRIPTION | FIELD TYPE | FIELD SIZE |
1. | AmountAdvanced1 | Amount Advanced | Text | 10 |
TotalToDate1 | Total to Date | Text | 10 | |
Date1 | Date | Text | 10 | |
SignatureOfBorrower1 | Signature of Borrower | Text | 30 | |
2. | AmountAdvanced2 | Amount Advanced | Text | 10 |
TotalToDate2 | Total to Date | Text | 10 | |
Date2 | Date | Text | 10 | |
SignatureOfBorrower2 | Signature of Borrower | Text | 30 | |
3. | AmountAdvanced3 | Amount Advanced | Text | 10 |
TotalToDate3 | Total to Date | Text | 10 | |
Date3 | Date | Text | 10 | |
SignatureOfBorrower3 | Signature of Borrower | Text | 30 | |
4. | AmountAdvanced4 | Amount Advanced | Text | 10 |
TotalToDate4 | Total to Date | Text | 10 | |
Date4 | Date | Text | 10 | |
SignatureOfBorrower4 | Signature of Borrower | Text | 30 | |
5. | AmountAdvanced5 | Amount Advanced | Text | 10 |
TotalToDate5 | Total to Date | Text | 10 | |
Date5 | Date | Text | 10 | |
SignatureOfBorrower5 | Signature of Borrower | Text | 30 | |
6. | AmountAdvanced6 | Amount Advanced | Text | 10 |
TotalToDate6 | Total to Date | Text | 10 | |
Date6 | Date | Text | 10 | |
SignatureOfBorrower6 | Signature of Borrower | Text | 30 | |
7. | AmountAdvanced7 | Amount Advanced | Text | 10 |
TotalToDate7 | Total to Date | Text | 10 | |
Date7 | Date | Text | 10 | |
SignatureOfBorrower7 | Signature of Borrower | Text | 30 |
Please e-mail us your suggestions for additions and changes