Federal Perkins Loan Request Form - The College Of Wooster
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FEDERAL PERKINS LOAN REQUEST FORM
Please complete this form and return it to us at the address (or fax number) below. If we do
not receive it within 30 days of the loan award date or by July 1 before the academic year
(whichever is later), your loan shall be cancelled and the funds offered to another student.
I wish to borrow a Federal Perkins Loan in the amount of $____________ [up to the maximum in
your award letter, half applied to my student account each semester] to help pay for educational
expenses at The College of Wooster during the 2015 – 2016 academic year. I have read and I
understand the description of the Perkins Loan Program on the reverse.
(Please print.)
Student’s Name ________________________________________________________________________
Last
First
M.I.
Social Security # __________________________
Date of Birth _________________________
Home Address _________________________________________________________________________
Number and Street
City
State
Zip Code
Home telephone # ____________________________
Class Year _______________
List three individuals who would know how to contact you after you graduate from Wooster. List a parent or
guardian in column 1; other relatives or friends with different addresses in columns 2 and 3. If you have
borrowed a Perkins Loan previously, you need not list more than one reference.
Name
Name
Name
Number and Street
Number and Street
Number and Street
City
State
Zip Code
City
State
Zip Code
City
State
Zip Code
Telephone #
Telephone #
Telephone #
__________________________________________________
_________________________
Student Borrower’s Signature
Date
When we receive this request form, we shall prepare the master promissory note (for first-time
borrowers) and other necessary forms for you to sign in our office. The loan will be credited to your
student account (one-half applied to each semester’s charges) when you have completed them. Please
refer to the information about Federal Perkins Loans on the back page. Since Perkins Loan funds are
limited, College policy requires students to borrow the Subsidized Stafford Loan before the
Perkins Loan.
Office of Financial Aid Wooster, Ohio 44691 330/263-2317 800/877-3688
Fax 330/263-2634 email: financialaid@wooster.edu
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