Parent Plus Loan Request Form Florida Memorial University
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1
2Parent PLUS Loan Request Form
Florida Memorial University
Office of Financial Aid & Scholarships - Student Services Building - Room 159
Avenue, Miami Gardens, FL 33054 – Phone: (305) 626-3742 FAX: (305) 623-4233
nd
15800 NW 42
Please type directly or print legibly and complete all sections. Fax or mail this form back to our office.
This is not a Master Promissory Note; you will need to complete a Master Promissory Note at the website
“StudentLoans.gov” once your application has been accepted/approved by the U.S. Department of Education.
Student Information
Student Name:
(Last)
(First)
(MI)
SS Number:
Date of Birth:
Parent Borrower Information (one parent only)
1. Parent Name:
(Last)
(First)
(MI)
2. SS Number:
3. Date of Birth:
4. Address:
(Street)
(City)
(State/Zip)
5. Parent email:
6. Phone:
□
□
□
7. U.S. Citizenship Status:
Citizen/national
Eligible Non-Citizen
Alien ID#: ___________________________
8. Academic Year: 20______ - 20_______
9. Semester(s)
_____ FALL
_____ SPRING
_____ SUMMER
□
□
□
10. Relationship to student:
Father
Mother
Step-parent
11. If your credit is denied (check ONLY one):
□
I will appeal the credit decision or pursue an endorser (co-signer) through the Department of Education.
□
I will NOT appeal the credit decision, please offer additional Federal Direct Unsubsidized Loan to my student.
13. Date:
I authorize the U.S. Department of Education to investigate
12. Parent Borrower Signature:
my credit record and report information about my loan approval status to the Office of Student
Financial Aid.
I understand that I will be notified of the credit decision in writing by the Department OF
Education.
SIGNATURE
(DO NOT TYPE): __________________________________________________
_________________
Complete the Federal Direct PLUS Loan Master Promissory Note (MPN):
14.
Parent: Log in and complete the PLUS MPN at
The note is good for 10 years; however, you may be
asked to complete a new MPN if you used a cosigner or received a credit override on your most recent PLUS loan. The
parent who completes this PLUS Request Form should also complete the Parent PLUS MPN.
*** Be sure all birthdates and Social Security Numbers are accurate or we will not receive your MPN from the Department of Ed.
ABILITY TO VIEW THE PARENT PLUS LOAN ON THE STUDENT’S AWARD DOES NOT
SIGNIFY THE LOAN HAS BEEN CREDIT APPROVED BY THE DEPARTMENT OF EDUCATION
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