Parent PLUS Loan Request Form

Direct Loan Parent Plus How To’s
1. Student’s Financial Aid file must be complete
IE: FAFSA, Verification (if required), High School Documentation, Data Form Submitted
2. Student must be eligible for federal student aid.
3. Parent must complete Parent Plus Entrance, Parent Plus Application and E-MPN at www.StudentLoans.gov .
Click the link for the Plus Request Process for instructions.
4. Parent must submit the Direct Parent PLUS Loan Request Form to the Financial Aid Office. 10 days are required
to process this loan request.
Revised 01/09/13
Direct Parent PLUS Loan Request Form
(Eligibility Restricted to DEPENDENT students)
STUDENT
NAME______________________________________________________________
(Last)
(First)
(M.I.)
S.S.#_________________________
ADDRESS - Number & Street___________________________________________________________________________
City___________________________________________________________State__________Zip____________________
Phone (_________)_________________________ Driver’s License - State_______Number__________________________
Date of Birth____________________________ Expected NC State Graduation Date _______________________________
PARENT BORROWER
NAME______________________________________________________________
(Last)
(First)
(M.I.)
S.S.#_________________________
ADDRESS - Number & Street___________________________________________________________________________
City___________________________________________________________State__________Zip____________________
Phone (_________)_________________________ Driver’s License - State_______Number__________________________
Date of Birth__________________________ Relationship to student ____________________________________________
Parent Citizenship Status: ___ US Citizen/National __ Permanent Resident/Eligible Non-citizen
__Neither
LOAN REQUEST
Loan period - Your loan will be processed from its beginning term through the end of the academic year, unless the student
plans to graduate before the end of the academic year. When should the loan begin?
_______Summer
_______Fall
How much do you want to borrow for the entire loan period?
_______ Spring
$_____________
The loan amount awarded will be divided evenly across the entire loan period.
CERTIFICATION
I understand and agree that:
The Parent Borrower must complete an E-MPN (electronic Master Promissory Note) using his/her information at
www.StudentLoans.gov
This application is subject to credit approval by the US Department of Education. Credit denial may be appealed, call Direct
Loan Servicing at 1.800.557.7394
Student must submit FAFSA, complete required steps and submit requested documentation to the Financial Aid office.
Failure of the student to remain enrolled in at least 6 credit hours may result in cancellation of this loan.
Student must maintain Satisfactory Academic Progress as established by NCSC and obtain a degree/LPN certificate within
150% of the minimum credit hours required.
This Direct Parent PLUS Loan award may be adjusted when/if additional financial aid is applied to the student account.
Your submission of this form authorizes the US Department of Education to initiate a credit check. Your submission of this form also
authorizes NCSC to process this application electronically (EFT), proceeds from this loan will be applied to the student account. Any
possible refund will be issued to the student.
_________________________________________________
(Parent Signature)
Revised 01/09/13
________________________________
(Date)