Alabama A&M University Federal Direct PLUS (Parent) Loan Application 2010-2011 2011-2012 Consent to Obtain Credit Report/Loan confirmation This application is for the parent of dependent undergraduate students who need additional funding. Please read the Parent PLUS Information Sheet before completing this form. Please be advised that by submitting this form, you are authorizing the Department of Education to perform the required credit check. The student must have a completed award package before you submit this form. Please print clearly and return all documentation requested, as illegible or incomplete applications will result in processing delays. If the PLUS Loan is approved, a Master Promissory Note (MPN) must be completed by the same parent that applied. Only one parent may apply. The same parent that applies for the loan must be the same parent to complete the MPN. Attach a copy of borrower’s Social Security Card and Driver’s License (REQUIRED) The parent borrower must submit a copy of their driver’s license with this application. In addition to the driver’s license copy, if the parent borrower is a biological parent who is not listed on the FAFSA, a copy of the student’s birth certificate and a copy of the parent’s Social Security card must be submitted as well. STUDENT’S INFORMATION Student’s Name_________________________________________________________ First Middle Last SSN__________________________ AAMU Student Number___________________ Student’s DOB_________________ Student’s AAMU email _____________________ PARENT BORROWER’S INFORMATION Relationship to student: ( ) Mother/Stepmother ( )Father/Stepfather ( )Aunt ( )Uncle ( )Grandmother ( )Grandfather ( X )Other___________________________________________ Parent’s Name ___________________________________________________________ First Middle Last Parent’s DOB____________________ Parent’s SS#_____________________________ Citizenship: ( ) U.S. Citizen ( ) Eligible Non-Citizen: A___________________________ Eligible non-citizens must submit a front/back copy of their Permanent Card. Parent’s Driver’s License Number and State of Issue______________________________ Permanent Street Address__________________________________________________ Permanent City/State/Zip___________________________________________________ Home Phone Number_________________ Email address_________________________ Cell Phone __________________________Office Phone _________________________ Are you in default on a Stafford, PLUS or Perkins Loan? ( ) Yes ( ) No Do you owe a repayment to any postsecondary institution involving Title IV funds? ( )Yes ( )No Have you received Title IV funds through misrepresentation or fraud? ( ) Yes ( ) No LOAN PERIOD AND AMOUNT REQUESTED Loan Period: ( ) Fall/Spring 20___ ( ) Fall 20___ ( ) Spring 20___ ( ) Summer 20___ Loan Amount Requested for PLUS Loan $____________________________________ By submitting this application I declare, under the penalty of perjury, that all information provided herein is true to the best of my knowledge and that the signature below is the signature of the parent borrower. I consent to the US Department of Education and its agents obtaining my credit report and using the information from the report to determine my eligibility for a Direct PLUS Loan. I understand that I will be notified in writing of the results of this credit check. Parent Signature__________________________________ Date__________________ PLUS DENIAL DUE TO ADVERSE CREDIT If your Federal Direct PLUS Loan is denied by the Department of Education due to adverse credit, your student may be eligible for an additional Unsubsidized Stafford Direct Loan (yearly aggregate limits apply). Please indicate how you would like to proceed if the application is denied: ____ I will either appeal the credit decision with Direct Loans or obtain a credit worthy endorser/cosigner. If this is your choice, you have 14 days to obtain an endorser. After 14 days, your application will be terminated. ____ I do not wish to appeal or obtain an endorser/cosigner. Please award the additional unsubsidized loan. My student and I understand that the yearly loan amount is limited to no more than $4000 for a freshman or sophomore, and $5000 for a junior or senior. We understand that this amount will be reduced if the loan is for one term only. We are aware that this decision will greatly increase total loan indebtedness for the student and may reduce or eliminate any Stafford loan eligibility in subsequent years if the aggregate loan limit is reached before graduation. If the PLUS Loan is denied, and the student wishes to borrow additional funds, please indicate the total amount that the student wishes to borrow: $______________________ Student’s Signature _____________________________ Date ____________________ Please return this form, and the documentation requested on the reverse side to: Office of Student Financial Aid Alabama A&M University P. O. Box 907 Normal, AL 35762 financialaid@aamu.edu (256) 372-5400 (telephone) (256) 372-5407 (fax)