Federal Direct Parent PLUS Loan Request Form
Step 1
If you plan to borrow a Federal Direct Parent PLUS Loan for the 2016-2017 academic year or if you apply and are denied, you
MUST complete this form and return it as soon as possible to Rider’s Office of Financial Aid. This is NOT the formal application;
you must complete all steps below. (If you do NOT intend to apply for a Federal Direct Parent PLUS loan, there is no need to
return the form.)
Student’s Name ______________________________________________________________________
Last
First
Middle
Student’s SSN
_____/____/_____ _
Student’s Bronc ID
_______________________
Parent/Borrower Name _________________________________________________________________
Last
First
Middle
Parent/Borrower SSN _____/____/_____ _
Parent/Borrower Date of Birth
____/____/____
Parent Telephone # (
) _____________________
Parent Email ____________________________
Parent Permanent Address______________________________________________________________
Amount Requested ____________
*Loans may be requested up to the Cost of Attendance minus all other financial aid. Please refer to the Parent PLUS Loan
Worksheet to determine how much to borrow. Rider encourages families only to borrow what is absolutely necessary.
Loan Period (check one):
2016-17 Academic Year (recommended unless only attending 1 semester)
2016 Fall Semester Only
2017 Summer Sessions Only
2017 Spring Semester Only
Credit Balance Option (check one):
If any portion of the loan amount remains, after authorized charges on the student’s account has been paid, there is a credit.
Please indicate to whom the credit should be issued.
____ Me (Parent)
____ Student
Step 2
(to be completed by the parent/borrower)
If you have not already done so, go to to complete a PLUS application/credit check. Log in with your Parent
FAFSA ID and password. Click on ‘Apply for a PLUS Loan’.
Step 3
What is the credit decision on your PLUS loan? (This is provided online as a result of Step 2.)
____ Credit Approved
____ Credit Denied
Step 4
If you have been credit approved and you wish to borrow a Parent PLUS loan, you must complete the Master Promissory Note
(MPN) online at .
Step 5
Regardless of credit decision, return and sign this completed form or fax to:
Rider University Office of Financial Aid, 2083 Lawrenceville Road, Lawrenceville, NJ 08648-3099
(fax) 609-219-4487
finaid@rider.edu
:
By signing this Federal Direct Parent PLUS Loan Request Form, I (parent/borrower) understand
Completion of the 2016-17 FAFSA is required to obtain a PLUS loan.
•
I may cancel or reduce this loan at any time during the loan period.
•
The student must be enrolled at least half-time (6 credits per semester) and making satisfactory academic progress.
•
A completed, credit-approved loan application and MPN must be completed before Rider can process the loan.
•
Parent/Borrower Signature___________________________________________ Date________________
Rev. 5/2016