Parent Loan Information Sheet

Applicant Information

Parent's Name*

First Middle Last

Parent's SS#*

Parent's Date of Birth

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone*

Home Phone

Student Information

Student's Name*

First Middle Last

Student's SS#*

Faulkner Student ID#*

Student's Date of Birth*

Campus Attending*

Loan Information

I am applying for a total amount of*

These funds are needed to cover my student's expenses for the following term*

Select All
Spring
Summer
Fall

The Parent Plus Application and the Plus Master Promissory Note at “www.studentaid.gov” must be completed before the loan can be received. Have you completed these?

Yes
No

The necessary forms can be found here: https://www.studentloans.gov/myDirectLoan/launchMpn.action?mpnType=parentPlusMpn

Signature*

I agree that the above information is accurate, and that I am the person whose name appears on this form. Furthermore I understand that I have the right to cancel all or any of my loans and to have the loan proceeds returned to the bank. I can do this by notifying the Financial Aid Office by mail or e-mail no later than 14 days after the school receives my Federal Plus Loan proceeds.

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Introduction

Applicant Information

Student Information

Loan Information