Financial Aid Office  197 Franklin St. • Auburn, NY  13021

   315-255-1743 ext. 2470 • Fax 315-252-2185


REQUEST FOR FEDERAL DIRECT PLUS LOAN


The Federal Direct Parent Loan for Undergraduate Students (PLUS) is a non-need based federal loan program. The lender is the U.S. Department of Education rather than a bank or credit union.  If you are interested in borrowing a William D. Ford Federal Direct PLUS Loan, please complete this form and return it to the Financial Aid Office.  By completing this form I authorize Cayuga Community College to perform a credit check.

TO BE COMPLETED BY THE PARENT BORROWER:

Parent Name ________________________________________________________     Soc. Sec. No.________________________

Address_____________________________________________________________________________________________________

                               Street                                                                      City                                                  State                   Zip Code

Home Phone No.____________________________________________          Date of Birth________________________________

Parent email address __________________________________________________________________________________________

Check one: ______ U.S. Citizen      ______ Eligible Non-Citizen Alien Registration Number _________________________________

Driver's License: State­­­­____________                            #_______________________________________

Relationship to Student (check one):              _____ Father       _____ Mother       _____ Stepparent

Total Amount you wish to Borrow $__________________________

Are you in default on a student loan? (check one)       _____ Yes                             _____ No

Loan Period - Please Check One: If you will be borrowing for both the Fall and Spring semesters, we recommend that you apply for Fall and Spring loans at the same time. PLUS Loans for one semester only will require multiple disbursements, and half of the funds will not be available until after the midpoint of the semester.

    Fall 20_____ (1/2) and Spring 20_____ (1/2)                                   Spring 20_____ Only

Master Promissory Note (MPN):

_____ I have signed a MPN online at https://studentloans.gov            ____/____/______.(Date signed)

_____ I have a Federal Direct Loan MPN on file from a prior year

I, the parent borrower, authorize the Financial Aid Office at Cayuga Community College to apply all PLUS funds to any charges on the student’s account including tuition, fees, bookstore charges and any other charges that the student may authorize or cause to be assessed against the student account. I confirm that I am not in default on a federal student loan. All funds in excess of the student bill will be refunded.

I do______/     do not______  give permission to have excess PLUS proceeds released to the student.

________________________________________________________________________            ___________________

Parent Signature                                                                                                                                        Date

 

TO BE COMPLETED BY STUDENT:

STUDENT NAME____________________________________________________________________________________________

Cayuga ID # ________________________________________              DATE OF BIRTH_________________________________

 

O F F I C E   U S E   O N L Y

Approved Amount $______________    Date Loan Originated____________    Loan Period_____________    FA Initials_______