2020 - 2021 Federal Direct Loan Program REQUEST FOR PARENT LOAN (PLUS) Student Name: _____________________________________________________________ Student ID#:_______________________
PARENT INFORMATION (PLEASE PRINT CLEARLY): Last Name: ___________________________________ First Name: _____________________________________ M.I. ____ Parent Social Security No: ____________________________ Parent Date of Birth: _______________________________ Parent Phone Number: (________) _______________________________ Cell / Home / Work / Other (circle one please) Street Address: ________________________________________________________ (must use physical address, no PO Box) City: ______________________________ State: ___________ Citizenship Status:
[ ] U.S. Citizen or National
Zip: ___________
[ ] Permanent Resident Alien Registration number: A________________
PARENT PLUS LOAN REQUEST $__________________ FOR: q
2020 – 2021 Academic Year (Both Fall & Spring)
q
Fall 2020 ONLY
q
Spring 2021 ONLY
q
Summer 2021 ONLY
NOTE: Actual award may be less than requested after all other aid is considered. Parent borrower must have a good credit history to receive a Federal Direct PLUS loan. If I am DENIED a PLUS loan due to adverse credit history, I request SUNY Erie Community College (check only one): q Cancel the PLUS loan and will pay outstanding balance another way. q Cancel the PLUS loan AND my son/daughter wishes to borrow an additional unsubsidized Stafford loan in the amount of $ ______________.00 STUDENT SIGNATURE REQUIRED: _____________________________________ Date: _____________________ CONSENT TO OBTAIN CREDIT REPORT:
I authorize the Secretary of the U.S. Department of Education to: - Investigate my credit report - Report information concerning my credit - Use the information from that report to determine whether or not to make a Federal Direct PLUS to me. I understand I will be notified of the credit check results by the U.S. Department of Education.
Parent Borrower Signature: ___________________________________________________ Date: ________________
FACPAR20
SUBMIT COMPLETED FORM TO OFFICE OF FINANCIAL AID