"Federal Plus Loan Application Form for a Parent of a Dependent Students and Graduate Student Borrowers - Concordia University"

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FEDERAL PLUS LOAN APPLICATION
For a Parent of a dependent students and Graduate student borrowers
Avoid filling out this form by apply online at
www.studentloans.gov
Student Information
Student Name: ______________________________________
Student Social Security Number: __________________ Student ID #: ________________________
School Year for loan_________________________
To apply for a Federal Plus Loan you must:
1. Complete this application and return it to the Financial Aid Office
2. Complete a PLUS Master Promissory Note online at
https://studentloans.gov
Borrowers Information (please print or type, only one parents information is necessary, the parent must have a pin
number to sign the electronic promissory note, same pin number as signing the FAFSA)for GRAD PLUS the borrower is
the student
YOU MUST COMPLETE THIS SECTION IN FULL – DO NOT LEAVE ANY ITEMS BLANK
Requested loan amount: $_______________
Select One:
One Semester
Academic Year
(Select Semester)
Fall
Spring
Mother
Stepmother
Father
Stepfather
Graduate Student (self)
Relationship to student:
Social Security Number: ______________________ Date of Birth: __________________
Name: Last________________________ First___________________ M.I.____________________
Phone Number: _______________________ Email Address: _______________________________________
Driver’s License: State __________________ Driver’s License Number ______________________
Address: Street ____________________________________________________________________
City _____________________ State __________ Zip Code ________________
U.S. Citizen or National
Borrows’ Citizenship:
Eligible Non Citizen (Please provide Alien Registration Number) _____________________
 
: I agree that any potential excess funding can be released to the student.  
Refund Option
______ Accept ______ Decline 
I consent to the U.S. Department of Education and its agents to obtain a credit report 
and use that information in determining my eligibility for a Federal Parent Loan for Undergraduate Students. I understand 
hat I will be notified in writing the results of a credit check with respect to my loan application and that my son/daughter 
will be offered an unsubsidized loan if this application is denied.  
 
 
Borrower Signature: ______________________________________________ Date: ____________________
Main Office‐12800 North Lake Shore Drive ‐Mequon, WI 53097‐2402‐(262) 243‐4569‐Fax: (262) 243‐2636‐www.cuw.edu 
Michigan Office‐4090 Geddes Rd.‐Ann Arbor, MI  48105‐(734) 995‐7408‐Fax: (734) 995‐7448‐www.cuaa.edu  
 
FEDERAL PLUS LOAN APPLICATION
For a Parent of a dependent students and Graduate student borrowers
Avoid filling out this form by apply online at
www.studentloans.gov
Student Information
Student Name: ______________________________________
Student Social Security Number: __________________ Student ID #: ________________________
School Year for loan_________________________
To apply for a Federal Plus Loan you must:
1. Complete this application and return it to the Financial Aid Office
2. Complete a PLUS Master Promissory Note online at
https://studentloans.gov
Borrowers Information (please print or type, only one parents information is necessary, the parent must have a pin
number to sign the electronic promissory note, same pin number as signing the FAFSA)for GRAD PLUS the borrower is
the student
YOU MUST COMPLETE THIS SECTION IN FULL – DO NOT LEAVE ANY ITEMS BLANK
Requested loan amount: $_______________
Select One:
One Semester
Academic Year
(Select Semester)
Fall
Spring
Mother
Stepmother
Father
Stepfather
Graduate Student (self)
Relationship to student:
Social Security Number: ______________________ Date of Birth: __________________
Name: Last________________________ First___________________ M.I.____________________
Phone Number: _______________________ Email Address: _______________________________________
Driver’s License: State __________________ Driver’s License Number ______________________
Address: Street ____________________________________________________________________
City _____________________ State __________ Zip Code ________________
U.S. Citizen or National
Borrows’ Citizenship:
Eligible Non Citizen (Please provide Alien Registration Number) _____________________
 
: I agree that any potential excess funding can be released to the student.  
Refund Option
______ Accept ______ Decline 
I consent to the U.S. Department of Education and its agents to obtain a credit report 
and use that information in determining my eligibility for a Federal Parent Loan for Undergraduate Students. I understand 
hat I will be notified in writing the results of a credit check with respect to my loan application and that my son/daughter 
will be offered an unsubsidized loan if this application is denied.  
 
 
Borrower Signature: ______________________________________________ Date: ____________________
Main Office‐12800 North Lake Shore Drive ‐Mequon, WI 53097‐2402‐(262) 243‐4569‐Fax: (262) 243‐2636‐www.cuw.edu 
Michigan Office‐4090 Geddes Rd.‐Ann Arbor, MI  48105‐(734) 995‐7408‐Fax: (734) 995‐7448‐www.cuaa.edu  
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