2019-20
Student Loan Change Form
Student Name (Please print) ___________________________________________________Student ID # or Star ID _______________________________
Address _________________________________________________________________________________________________________________
City ___________________________________________________________________ State __________________ Zip Code ___________________
Phone _________ - __________ - ______________ E-mail Address _________________________________________________________________
Area Code
Which loan(s) do you want to change? (check all that apply)
____Direct Subsidized Loan
____Direct Unsubsidized Loan
____Direct PLUS Loan
____Minnesota SELF Loan
____Private Loan __________________________________
Name of Loan
What do you want to change on the loan(s) checked above?
____Cancel my loan(s) for: Fall _______ Spring _______ Summer _______
____Reduce my loan(s) for: Fall _______ Spring _______ Summer _______ from: $ _______ to: $ _______
Before applying for loan funds in the future, please visit the website at https://mygpslifeplan.org/app/worksheets/budget-calculator to
complete a Monthly Budget Worksheet.
RETURN THIS FORM BY EMAIL TO dottie.wolter@century.edu
Student Signature _____________________________________________________________________ Date_____________________
Parent Signature (Direct PLUS Loans only) ____________________________________________________ Date_____________________
Comments: ___________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Financial Aid Office
3300 Century Avenue North
White Bear Lake, MN 55110
Phone: 651-779-3305
Fax: 651-779-5816
E-mail: dottie.wolter@century.edu
A MEMBER OF THE MINNESOTA STATE COLLEGES & UNIVERSITY SYSTEM
AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER & EDUCATOR
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