LNALTO: ALT LN DATA REQ FORM
2020-2021
Alternative Loan
Data Request Form
University ID (UID) – Required
Social Security Number ________________________________
Last Name: _____________________________ First Name: _____________________________ MI: ________
Street Address: _______________________________________________________________________________
City: ____________________________________ State: ____________ Zip Code: _____________________
Cell Phone _______________________________ Other Number ______________________________________
Section B: Alternative Loan Data
Loan Period(s). The requested loan amount will be split evenly between all selected terms. Eligibility for the loan
amount requested is based on the total cost of attendance for the selected term(s) minus other accepted financial aid.
Summer 2020
(May 11 – Aug 1, 2020)
Fall 2020
(Aug 24 – Dec 12, 2020)
Spring 2021
(Jan 11 – May 1, 2021)
Section C: Financial Aid Data
On Campus Off Campus With Parent or Guardian
Full time Three-fourths time Half time Less than half time
Anticipated Graduation Date
Summer Fall Spring
Section D: Federal Direct Loan Options and Student Authorization
It is highly recommended that students apply for and accept federal financial aid before borrowing alternative loans.
Also, the benefits of borrowing federal student loans before borrowing private loans can be found on the Department of
Education’s website: https://studentaid.ed.gov/sa/types/loans/federal-vs-private
Federal Direct Loan Program
Interest Rates (for loans disbursed July 1, 2020 and before July 1, 2021)
STAFFORD Loans - for Students
2.75% fixed for Undergraduate Subsidized/Unsubsidized Stafford Loans
4.30% fixed for Graduate Unsubsidized Stafford Loans
PLUS Parents & Grad/Professional Students
5.30% fixed
I authorize Wright State University to credit my student account with alternative loan funds to pay for tuition, fees, room,
board, and other institutional charges.
(Handwritten Signature Required. Form may be emailed or faxed.)
Student Signature: ______________________________________________ Date: __________________________
FOR OFFICE USE ONLY
TREQ _________ LPRD _________ BUDG _________ COA _________ EFA _________ RSRC _________
EFC _________ FUND _________ GUAR _________ LNDR _________ $REQ _________ $CERT _________
Raider Connect
130 Student Union
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
Phone: 937-775-4000
FAX: 937-775-4410
raiderconnect@wright.edu