Application For Federal Direct Parent Plus Loan

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APPLICATION FOR FEDERAL DIRECT PARENT PLUS LOAN
2014-2015
SECTION A --TO BE COMPLETED BY PARENT BORROWER*
*Loan applicant should be parent of record on the student’s FAFSA with a current PIN to use as an electronic
signature on the promissory note.
Parent’s Name: _____________________________________________________
Last
First
Middle Initial
Address: ___________________________________________________________
City: _______________________ State: ______________ Zip Code: __________
Phone Number: (
)________________________________________________
E-mail Address required: ______________________________________________
Social Security Number: ______________________________________________
Date of Birth: ______________________________________________________
Driver’s License # with State: ___________________________________________
Total dollar amount requested: $________________________________________
Loan period (circle one) Fall/Spring
Fall only
Spring only
Summer only
Citizenship status: U.S. Citizen ______
Permanent Resident/Eligible Non-citizen:______
Alien registration number (if applicable): _________________________________
Are you currently in default on a Federal Education Loan or do you owe a refund on a Federal Student
Grant?
_____ Yes
______ No
If yes, have you made satisfactory repayment arrangements? ______ Yes
______ No
If it is determined that you have an adverse credit history, would you try to obtain an
endorser?
______ Yes
______ No

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