Please PRINT CLEARLY (Last Name, First Name MI)
DIRECT LOAN REQUEST
Complete ALL information requested using a PEN
, then submit this form to the BBCC Financial Aid Office.
Name: _____________________________________________ Date of Birth: ______________________________
Social Security #: ___________________________
• Check one of the following two options (instructions listed on insert):
A. ___ I am a first-time borrower. I have completed the following processes at www.studentloans.gov (see
reverse for instructions):
1. ___ I have completed the “Entrance Counseling”.
2. ___ I have completed the “Master Promissory Note”.
NOTE: Your first loan disbursement will be delayed 30 days if you are a first time college student and first time
B. ___ I have received prior Ford Direct Loans or Stafford Loans (see reverse for instructions).
• Indicate the following: (I) loan type(s) requested; (II) dollar amount requested; (III) loan period; (IV) estimated
graduation date; and (V) signature.
I. Loan Type(s) Requested
II. Requested Amount: $ __________________
(Amount is disbursed evenly during quarters marked below)
III. Loan Period (Indicate number of credits you plan to take each quarter. Do not enter “X” or “”. Must
be a minimum of 6 credits):
SUMMER 2019 ____ Credits; FALL 2019 ___ Credits; WINTER 2020 ___ Credits; SPRING 2020 ____ Credits
IV. Estimated BBCC Graduation Date: ________________________________________________________
V. Signature: __________________________________________________ Date: ___________________
Big Bend Community College does not discriminate on the basis of race, color, national origin, sex, gender, disability, or age in its programs or
activities. The following person(s) have been designated to handle inquiries regarding the non-discrimination policies. Kim Garza, Title IX
Coordinator, Building 1400, Office 1449 at (509)793-2010 or email@example.com
or LoraLyn Allen, Coordinator of Disability Services, Building 1400,
Office 1472 at (509)793-2027 or .
FAM FAM and/or COD NSLDS
Status: _____ D ______ I 30 Day-Hold ____ Aggregate Limits
MiniSoft Dep. = $31,000 ($23,000 max sub)
EFC: ____________ Grade Level: 1
yr ____ 2
yr ____ Ind. = $57,500 ($23,000 max sub)
FA: ____________ Academic Tab: ______
Sub Gross: ____________ Sub: ______ x4500/36= __________
Unsub Gross: ____________ Unsub: ______ x6000/36= __________
_______ x2000/36= __________
(ALL information in this section MUST be completed)
FOR OFFICE USE ONLY…do not write below this space