Federal Plus Loan Application Form - Concordia University printable pdf download

FEDERAL PLUS LOAN APPLICATION

For a Parent of a dependent students and Graduate student borrowers

Avoid filling out this form by apply online at

Student Information

Student Name: ______________________________________

Student Social Security Number: __________________ Student ID #: ________________________

School Year for loan_________________________

To apply for a Federal Plus Loan you must:

1. Complete this application and return it to the Financial Aid Office

2. Complete a PLUS Master Promissory Note online at

https://studentloans.gov

Borrowers Information (please print or type, only one parents information is necessary, the parent must have a pin

number to sign the electronic promissory note, same pin number as signing the FAFSA)for GRAD PLUS the borrower is

the student

YOU MUST COMPLETE THIS SECTION IN FULL – DO NOT LEAVE ANY ITEMS BLANK

Requested loan amount: $_______________

Select One:

One Semester

Academic Year

(Select Semester)

Fall

Spring

Mother

Stepmother

Father

Stepfather

Graduate Student (self)

Relationship to student:

Social Security Number: ______________________ Date of Birth: __________________

Name: Last________________________ First___________________ M.I.____________________

Phone Number: _______________________ Email Address: _______________________________________

Driver’s License: State __________________ Driver’s License Number ______________________

Address: Street ____________________________________________________________________

City _____________________ State __________ Zip Code ________________

U.S. Citizen or National

Borrows’ Citizenship:

Eligible Non Citizen (Please provide Alien Registration Number) _____________________

: I agree that any potential excess funding can be released to the student.

Refund Option

______ Accept ______ Decline

I consent to the U.S. Department of Education and its agents to obtain a credit report

and use that information in determining my eligibility for a Federal Parent Loan for Undergraduate Students. I understand

hat I will be notified in writing the results of a credit check with respect to my loan application and that my son/daughter

will be offered an unsubsidized loan if this application is denied.

Borrower Signature: ______________________________________________ Date: ____________________

Main Office‐12800 North Lake Shore Drive ‐Mequon, WI 53097‐2402‐(262) 243‐4569‐Fax: (262) 243‐2636‐

Michigan Office‐4090 Geddes Rd.‐Ann Arbor, MI 48105‐(734) 995‐7408‐Fax: (734) 995‐7448‐

Federal Plus Loan Application Form - Concordia University

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