Federal Direct Parent Loan Request Form printable pdf download

Financial Aid Office

2100 W. University

Wichita, Kansas 67213

(316) 295-5200

Fax (316) 295-5703

Federal Direct Parent (PLUS) Loan Request Form 2015-2016

To apply for the Federal Direct PLUS (Parent Loan for Undergraduate Students), parents must complete and

submit this form and a PLUS Master Promissory Note (MPN) if we do not have one on file to the Financial Aid

Office. This form is to be completed by the parent of the dependent student only.

Student’s Name:

_________________________________________________

Student Social Security Number: _________________________________________________

Date of Birth:

_________________________________________________

ALL DATA BELOW PERTAINS TO THE PARENT BORROWER. PLEASE PROVIDE

INFORMATION FOR ONE PARENT ONLY.

***Parent Social Security Number:

______________________________

Parent Name:

____________________________________________

Address: (P.O. Box is not acceptable)_________________________________________________

City: _______________________________ State: ___________________ZIP Code: ___________

Date of Birth: _________________________Phone Number: ______________________________

Driver’s License (Number and State): ________________ E-Mail: __________________________

Are you (the parent) currently in default on an educational loan?

Yes

Do you (the parent) owe an overpayment on a federal student grant?

Yes

Loan Amount Requested: $______________________________________

Loan Period for these funds: ____Fall/Spring ____Fall Only ____Spring Only

I consent to the U.S. Department of Education and its agents obtaining a report of my credit record and using

the information from that report in determining whether to make a Direct PLUS Loan to me. I understand that I

will be notified in writing of the results of the credit check with respect to my loan application. I further

understand that Friends University will disburse Federal Direct PLUS Loan funds to my son’s/daughter’s

student account and will be applied to his/her educational charges at this institution.

Parent Signature: _______________________________________ Date:____________________

***The U.S. Department of Education requires a parent’s Social Security Number (SSN) to be eligible for aid

under the Federal Pell Grant, William D. Ford Federal Direct Loan, Federal Supplemental Educational

Opportunity Grant, Federal Work-Study, and Federal Perkins Loan Programs.

Office Use Only: Credit Check Only?

Federal Direct Parent Loan Request Form