* Indicates required field

Step 1 of 4: Your info

First name *

Last name *

Address *

City *

State *

ZIP *

Phone *

Email *

Date of birth *

Your Horace Mann representative (if any)

* Indicates required field

Step 2 of 4: Student loan info

What is the total amount of your student loan debt?

Federal loan debt *

Private loan debt *

Type of loan (check all that apply)

FFEL
Direct
Perkins
Parent Plus
Private
I don't know

What is your total current monthly payment? *

What is your current repayment plan? *

Have you received teacher loan forgiveness in the past? *

If you're married, what is the total amount of your spouse’s federal student loan debt?

What is the highest interest rate owed on your loan(s)? *

What is the date of your first loan disbursement?

Are your loans currently in default? *

Yes No

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Step 3 of 4: Your employment

School where you work *

School Name

School district/employer *

Occupation *

Are you a classroom teacher? *

Yes No

Do you teach any of these subjects? Select any that apply.

Special Education
Math or science - High school
Math or science - Middle

How many consecutive years have you been teaching at this school?

List any school(s) where you taught in the classroom prior to your current position.

Do you plan to be in full-time public service employment for at least the next 10 years? *

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Step 4 of 4: Household and tax information

Individual annual Adjusted Gross Income (AGI) *

Household annual adjusted gross income (AGI) *

How did you file your last tax return? *

How many children, including unborn children, are in your family and receive more than half of their support from you? *

How many people, excluding your spouse and children, live with you and receive more than half of their support from you? *

How did you hear about Horace Mann’s Student Loan Solutions? *

Do you want to add an auto insurance quote?

I'd like see if I can save money on my auto insurance with discounted educator rates. Please add a quote to my assessment. I agree to the Notice of Information Practices.