Student Financial Services
840 Wood Street, Becht Hall
Clarion, PA 16214-1232
P: 814-393-2315 F: 814-393-2520
stfinservice@clarion.edu
Loan Change Request Form
2019-2020
Please complete the following information indicating the type of loan you would like to decline or make changes to. Befor
e completing this form, please
read carefully below:
1) If you are enrolled in both the fall and spring terms, the total amount you have b
een awarded is for the entire academic year and split 50/50. If you are
requesting to move funds from one semester to another, you understand that requesting this will leave you with less funds in the other semester.
2) All Federal Direct Loans have origination fees deducted prior to funds disbursing to the school. If you are requesting to receive a specific amount of
money, please indicate the exact (net) amount you want to receive after fees to ensure that your awards are calculated correctly.
Student Name (print)
Clarion ID Number
Contact Phone Number
Federal Direct Stafford Loans
Adjustments to Direct Stafford Loans must be made by the student borrower. Check ONLY the boxes that apply:
Subsidized Loan:
Fall only Spring only
Cancel Reduce to $________
Increase to $________
Fall/Spring
Unsubsidized Loan:
Cancel Reduce to $________
Increase to
$________
Fall/Spring
Fall only Spring only
SPECIAL NOTES:
I want just enough money to cover my bill
Request Loan full
eligibility amount to be processed in one term
Transfer**
Federal Direct PLUS Loans (Parent PLUS or Grad PLUS)
Adjustments to Federal Direct Parent Plus Loans must be made by the parent borrower. NOTE: Endorsed PLUS loans cannot be increased.
Cancel
Reduce to $________
Increase to $________
Fall/Spring
Fall only
Spring only
SPECIAL NOTES:
I want just enough money to cover my bill Withdraw/Leave of Absence/Transfer**
Private Alternative Loans
Adjustments to Private Alternative Loans must be made by the Primary borrower. To increase your loan, contact your lender. To decrease
or cancel your loan, fill out the information below.
Cancel Reduce to $_____________ Fall/Spring Fall only Spring only
LENDER NAME/SPECIAL NOTES:
I want just enough money to cover my bill Withdraw/Transfer**
Signature of Student or Parent based on request
DATE:
** If withdrawing or transferring (prior to start of
term), student must also complete official form with
Registrar’s office **
Summer only
Summer only
Summer only
Withdraw**
Summer only
Specify term _____________
Requesting Grade Level Increase
**PLEASE ALLOW UP TO 2 WEEKS FOR PROCESSING**
click to sign
signature
click to edit
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