Scottsdale Community College
2015-2016 Direct Plus Loan Request
A. Student Information
__________________________________________
Last Name
First Name
MI
XXX-XX Social Security Number
@maricopa.edu
Maricopa Email Address (Note: all electronic
communication will be sent to your Maricopa Email Address)
Phone Number with Area Code
Student ID Number
B. Parent Borrower Information
Parents of dependent students are eligible to request a Federal Direct Parent Loan for their undergraduate student
(PLUS). PLUS loans are considered financial aid. The PLUS loan is dependent upon a satisfactory credit check. You can
inform us of the dollar amount you would like to borrow below. If the requested amount is more than the student is eligible
for, we will award the maximum amount possible.
1. Provide the following information for one parent borrower:
Name and address of parent: ______________________________________________
_____________________________________________
_____________________________________________
Email address: __________________________________________________________
2. Social Security Number:
_______________________________________________
Date of Birth: ____________ Phone Number: _________________________________
Driver’s License Number
(state) ____ (#) ___________________________________
Citizenship Status:
US Citizen or National
Permanent Resident or other eligible non-citizen
ARN: ________________________________
Neither of the above
C. Loan Request
3. Loan Amount Requested: $________________________
4. The federal government requires borrowers of PLUS loans to provide the college written authorization on how to
disburse the balance of the loan funds, if any, after the student’s college tuition and fees have been deducted.
Indicate the option you want for the release of the balance of the PLUS loan funds.
I agree to allow the PLUS refund to be given to the student in the student’s name.
I agree to allow the PLUS refund to be given to the parent in the parent’s name.
_________________________________________________________________________________________________
Parent Signature
Date
9000 E. Chaparral Rd, Scottsdale AZ 85256 – FAX 480-423-6591