Financial Aid Office
2100 Moorpark Avenue
San Jose, CA 95128
(408) 288-3741
2016 – 2017 Federal Direct Student Loan Application
Applicant Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
Home Phone:
(
State
)
ZIP Code
Social Security Number:
Student ID:
Driver License #:
PLEASE NOTE: Name, Address, DOB, SSN, must match information on both the FAFSA and Admissions and Records.
Loan Information
Type of Loan Requested
Subsidized Loan
☐
(need-based loan; interest is paid by the federal government while in school)
Unsubsidized Loan
☐ (does not require financial need; interest accrues and is added to principal while in school)
Amount you are requesting:
$ _____________________________
Anticipated number of units you will be registered for:
☐
Fall 2016
☐
Spring 2017 ___________
__________
Unless otherwise specified the loan amount will be evenly divided between the fall and spring semesters.
*If you request more than your maximum eligibility, your loan will be certified for the maximum only.
*Loan amount may differ from the requested amount, based on your loan history, and/or financial need/cost of attendance
Have you borrowed a federal direct student loan before?
☐
Yes Estimated amount of total student loan balance: __________________
☐
No
To complete the loan process you must first:
*Attend a loan orientation
*Go to www.studentloans.gov to complete your entrance counseling and sign your Master Promissory
note (MPN). (To sign your MPN you must already have a FSA ID established. You may have already
obtained an FSA ID when you completed your FAFSA. If you do not have a FSA ID go to
www.fsaid.ed.gov to apply for one or retrieve your existing one.
Student Signature ________________________________________ Date __________________
OFFICE USE ONLY PKGD Date _____________ By _______
Cert/XMIT Date _______________ By______