201
8
-2019 Verification of Application for Federal Unsubsidized Loans Only
Student Name:
GTCC ID:
You did not report information about your parents on your FAFSA and indicated you are only
applying for a federal unsubsidized student loan. Please answer the following question so we may
continue processing your financial aid. You will be contacted if additional information is required.
Do you wish to be considered for federal unsubsidized loans ONLY?
☐ Yes, I understand I will not be considered for any federal grants, subsidized loans, or the
work‐study program. In addition, I understand I will not be considered for any state or
institutional funds, including scholarships and grants that require me to demonstrate
financial need. See parent section below.
☐ No, I wish to be considered for other types of aid and will provide parental information on
the FAFSA. I understand my file will not be processed until I have provided parent
information on the FAFSA.
My signature below certifies that I understand the information provided above.
Student Signature Date
Parent Section – Only students who check ‘yes’ above must have their parents complete this
section. Federal regulation states that before a financial aid administrator may award a dependent
student an unsubsidized Stafford loan, he/she must obtain a signed and dated statement from one of
the student’s parents specifically stating that the parent(s):
• have stopped providing financial support to the student named above. (Please provide
the date when the financial support stopped / / )
• will not provide future financial support to the student named above.
• refuse to complete the parental section of a FAFSA.
I, parent name
, certify that all of the statements
above are true.
Parent Signature Date
Please return this completed form to: GTCC Financial Aid Office, PO Box 309, Jamestown, NC 27282
or FAX to 336-217-8468.
Financial Aid Office P.O. Box 309
Phone: 336.334.4822 Option 3
Jamestown, NC
27282 Fax: 336.217.8468
Phone:
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