University of New Orleans

DELGADO COMMUNITY COLLEGE Office of Student Financial Aid

Federal DIRECT Loan Parent Loan for Undergraduate Students (PLUS)

Please complete the information below in order to begin the process of applying for the Federal Direct PLUS. Note: The PLUS is contingent upon credit approval by your lender/servicer. The completion of this form is only your first step in the application process, and does not determine your eligibility.

Parent Borrower’s Name: ______SS # ______

Address: ______Street Address City State Zip

Telephone Number: ______Cell Number: ______

Parent’s Date of Birth: ______Requested Loan Amount*: ______

Semester(s) the loan is requested for: Fall ______Spring ______Summer ______

* Please be advised, when requesting a loan amount, you may borrow up to $10,000 minus any Financial Aid the student has been awarded and/or is eligible to receive. Therefore, the Financial Aid Administrator will certify your PLUS loan request for an amount not to exceed $10,000.

This is to acknowledge that I am the biological, adoptive or step* mother or father of my dependent child listed below: Parent’s Signature: ______

Dependent Child on this form refers to the student’s name that is listed below. The student must meet the eligible student definition according to Federal Regulations and the DELGADO COMMUNITY COLLEGE criterion; he/she must be meeting Satisfactory Academic Progress and enrolled at least half-time in credit hour courses.

Student Name: ______Student ID# ______

I acknowledge that I am a U.S. Citizen and meet the same residency requirements determined by federal guidelines. I also attest that the Federal PLUS is only to pay for the educational costs of my dependent child. I also acknowledge that I do not owe a refund on a Federal Student Aid grant and I am not in default on a Federal Student Aid loan.

Please check the appropriate box:  A FAFSA has been completed and DCC’s code was included on the application.  A FAFSA was not completed and the required tax returns (for student and parents) are attached to the form.

Although it is not required, it is highly recommended that you complete the Free Application for Federal Student Aid (FAFSA). If the FAFSA has not been completed, then you must submit signed copies of the student’s and the parents (mother and father) Federal 1040 Income Tax Transcript.

By signing this form, I certify that the above referenced information is accurate and true. If I purposely give false or misleading information on this form, the FAFSA or the PLUS Promissory Note, I may be fined, sentenced to jail or both.

______Parent’s (Borrower) Signature Student’s Signature ______Date Date