Parent Loan Application And Instructions Page 2

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Stark State College
Office of Financial Aid
6200 Frank Ave NW, North Canton, OH 44720
(330) 494-6170 | Fax-(330) 966-6598
| studentservices@starkstate.edu
FEDERAL DIRECT PARENT PLUS LOAN APPLICATION
2016-2017
STUDENT NAME
SSC STUDENT ID #
Please print all information in ink.
Parent Name*
*only the name of the parent applying for the loan
Parent Social Security No.
Parent Address
City, State and Zip Code
Parent Phone Number
Parent Date of Birth
Parent State of Residence
Parent’s Citizenship Status
US citizen
US permanent resident
Other, please specify ________________________________________
Loan Period
Check all semesters for which the student will be enrolled at least half-time and for which you wish to receive a loan.
The total amount awarded will be divided equally among the semester(s) you choose.
Summer 2016
Fall 2016
Spring 2017
Amount Requested $ _______________________
By signing below, I certify the information provided is accurate, I am not in default on any federal student loan, I do not
owe an overpayment of any financial aid grants, I have read and understand the Federal Direct Parent PLUS Loan
Information at /PLUS, and I have read and understand the Master Promissory Note completed at
Parent Signature
Date
FOR OFFICE USE ONLY
G:\2016-17 Forms 3.1.2016

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