Federal Direct Parent Loan (Plus) Request Form And Procedures
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2Federal Direct Parent Loan (PLUS) Request Form and Procedures
Directions: Complete Sections A, B & C below and return to Financial Aid Office on Franklin or Suffolk
Campus. You may also email to
FinancialAid@pdc.edu
or fax to 757-569-6743 or 757-925-6372.
Student Name
Student ID#
Section A: Borrower Information (to be completed by one parent). Please print neatly or type.
Parent Name
(Last)
(First)
(MI)
Parent SSN
Permanent Address
(Street)
(City)
(State, Zip)
Home Telephone Number
Driver’s License #
State
Date of Birth
Parent’s E-mail
US Citizen:
Alien Registration #
(Choose one: 1= US Citizen, 2= Eligible Non-citizen, 3= None)
Are you in default on any Federal Parent/Student Loans or do you owe a repayment on a Federal Grant? __ Yes __ No
Section B: Parent Loan Request:
Academic Year______________
I am applying for (check one):
____Fall & Spring
____Fall Only
___Spring Only
____Summer only
1 disbursement per term
2 disbursements per term
2 disbursements per term
2 disbursements per term
Requested Loan Amount $
Borrower Certification: I understand that to obtain a loan through this process I must complete a master promissory note following the
directions listed below. I also understand that a credit check will be performed by the U.S. Department of Education to determine
eligibility for this loan. By signing this authorization form, I give consent to Paul D. Camp Community College to initiate the loan process.
Parent’s Signature
Date
Student’s Signature
Date
Signatures must be actual signatures. Electronic signatures are unable to be authenticated at this time.
Section C: Online Application Process
Be sure to complete the following steps:
1.
Complete and Sign the Direct Plus Loan Application and a Direct Plus Loan Master Promissory Note at
,
2.
Complete and Return the Federal Direct Loan Parent Loan Request Form.
Borrowing Limits
A parent may borrow up to the cost of attendance minus any other assistance received (Financial aid, private
scholarships or any other educational resources given to the student).
All parent loan proceeds will be applied to outstanding balances the student owes Paul D. Camp Community College. Any
remaining proceeds will be disbursed in a check made payable to the parent and mailed to his/her permanent address.
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