Federal Direct Loan Request Form

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FALL 2015 (8/24/15 – 12/11/15)
Financial Aid Office
Phone: (269)294-4260 Fax: (269)467-9068
LOAN REQUEST FORM
Email: financialaid@glenoaks.edu
Deadline to submit 10/30/15
FEDERAL DIRECT LOAN REQUEST FORM
Use this form to request a Federal Direct Loan each semester. Please borrow only what you need for your education. All Federal
Direct Loans require repayment with interest. If you have questions on completing this form, contact the Financial Aid Office.
STUDENT INFORMATION
1
________________________________________________________________________________
_____________________________________
Last Name
First Name
Middle Initial
GOCC Student ID#
________________________________________________________________________________
_____________________________________
Address (include apartment or unit number)
Date of Birth
________________________________________________________________________________
______________________________________
City
State
Zip
Phone Number
________________________________________________________________________________
______________________________________
Degree and/or Certificate program at GOCC
Estimated Completion Date
LOAN APPLICATION
2
Loan amount requested (one semester only). You must indicate a dollar amount.
$
Maximum will be one half (50%) of your annual loan limit. See back of form for annual and
lifetime limit. NOTE: All one semester loans will be split in two equal payments within the
semester.
LOAN STEPS
3
1. Complete the 2015-2016 FAFSA and submit any requested documents to the Glen Oaks Financial Aid Office.
2. If this is your first loan at Glen Oaks, complete loan Entrance Counseling in-person during one of the scheduled
Entrance Counseling sessions. Register for a session in advance in the Financial Aid Office, by phoning 269-294-
4260 or e-mailing, finanicalaid@glenoaks.edu.
3. If this is your first loan at Glen Oaks, complete a Master Promissory Note at
CERTIFICATION (Please check each box)
4
☐ I have completed all loan steps, and met all loan requirements as stated on the back of this form.
☐ I understand I must enroll and attend at least 6 credit hours to receive loan funding.
☐ I understand the terms and obligations of borrowing from the Direct Loan Program.
☐ I authorize the College to credit my student account with my loan proceeds.
☐ I understand that all loan disbursements are subject to a 30 day delay starting with the first day of class for the semester.
☐ I understand that submitting a loan request does not guarantee loan processing, and the Financial Aid Office makes the final
determination.
☐ I understand that all required documentation must be on file before loan consideration can begin.
☐ I understand that the other financial aid I am receiving including Work Study could affect the amount of my loan.
☐ I understand that if my enrollment level changes my loan amounts could be reduced.
☐ I understand that if I do not attend my classes or if I withdraw from all of my classes, I may be required to return a portion of my
loans.
☐ I understand that this request may take several weeks for review and I am solely responsible for any tuition due.
By signing this request I agree that I have read and fully understand all of the information on this form.
Signature _____________________________________________________________________
Date ________________________

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