Certification Of Approval For Off-Campus Enrollment Page 2

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STANFORD UNIVERSITY • FINANCIAL AID OFFICE • MONTAG HALL • 355 GALVEZ ST • STANFORD, CA 94305-6016
 
Cost Of Program
(Please verify these figures with the contact person listed on opposite page):
TUITION AND FEES:
$_____________
ROOM AND BOARD:
$_____________
OTHER EXPENSES:
$_____________
TOTAL:
$_____________
ENROLLMENT DATES:_____________TO:_____________
mm/dd/yy
mm/dd/yy
Federal Direct Loan Amount Requested (REQUIRED):
Please select the option below that reflects the amount you wish to borrow in federal Direct loan funds for the period
of enrollment at your Host Institution, if eligible:
____ Maximum eligible amount (subsidized and unsubsidized)
____ Maximum eligible amount (subsidized only)
____ Other amount: $_________ (subsidized and unsubsidized)
____ Other amount: $_________ (subsidized only)
____ I do not wish to borrow a federal Direct loan
Please mark the item below to indicate whether your parent wishes to borrow a federal Direct PLUS loan for the period
of enrollment covered by your Consortium or Contractual Agreement:
____ Yes, my parent plans to borrow a Direct PLUS loan if eligible
____ No, my parent does not plan to borrow a Direct PLUS loan
You will receive an award letter showing the actual amount of your eligibility for the Direct and Direct PLUS loans,
along with instructions on how to apply for these loans.
Please read and sign:
I will notify the Financial Aid Office if the information regarding the cost of my enrollment at the consortium school
changes, or if the dates of enrollment change.
STUDENT SIGNATURE
DATE
____________________________
Updated 8/2011
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