REQUEST FOR FEDERAL DIRECT PLUS LOAN

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? (circle 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 ____/____/______.

_____ 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:

NAME_______________________________________ SOC. SEC. NO._________________________

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_______