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Direct Grad PLUS Loan Request Form


Instructions: This form is NOT an application for a Federal Direct Grad PLUS Loan. Complete this Grad PLUS Request form after you have applied and been approved for a Federal Direct Grad PLUS Loan.

Borrower (Student) Information

Student Name*
Mailing Address*

Loan Information

Which term(s) do you want to take a loan?*
Which academic year would you like to take this loan?*
Are you adding to a current loan?
$
This is the actual loan amount you are borrowing. This amount must be repaid with interest. You cannot borrow a loan amount that is higher than what you were approved for on your Federal Direct Grad PLUS application. The amount applied to your billing statement will be lower than the gross amount, due to an origination fee charged by the federal government.
$
This is the amount that will actually be applied to your billing statement. It is equal to the gross amount you specified, minus an origination fee charged by the federal government.
$
This is the amount that will actually be applied to your billing statement. It is equal to the gross amount you specified, minus an origination fee charged by the federal government.

Sign and Submit

By signing this form, I certify that the above information is true and accurate. I authorize the Financial Aid Office to apply my Federal Direct Grad PLUS Loan to my account in the manner I specified above. 

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Borrower Name*
Date/Time*

A confirmation of receipt email will be sent to the email address provided once this form is received.

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