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Office of Financial Aid
Perlstein Hall, 206
10 W. 33
Chicago, IL 60616
Fax: 312.567.3982
Direct PLUS Loan Request Form 2019-2020
Student Information
_________________________________________ _________________________________________
Last Name First Name
_________________________________________ _________________________________________
Campus-Wide ID (A#) Telephone Number
Financial Health Check
When requesting an additional loan, we highly suggest you complete the exercises below:
Visit the National Student Loan Data System website ( and review a summary
of your total federal student loan debt.
Use the Federal Student Aid Repayment Estimator (
to calculate your monthly student loan payments: $ (use an estimate of your future salary to complete this step)
Loan Request
1. For which term are you requesting funding?
Fall & Spring
Fall Only (I am graduating at the end of the fall term)
Spring Only (I started classes in the spring term)
2. How much funding are you seeking?
I am seeking a Graduate PLUS Loan totaling: $ _________________
3. Do you wish to decline your Federal Work-Study Award (FWS)? Yes No N/A
**The Graduate PLUS Loan is based on credit approval.
By signing this form, I authorize the Office of Financial Aid to adjust my federal loan(s).
Student Signature (sign in ink) Date
The Office of Financial Aid requires those seeking a Graduate PLUS Loan to complete this
request. This form seeks to notify borrowers of the impact that a Direct PLUS loan will have on
their total debt and estimated monthly payments. Students should note that Direct PLUS Loan
requests may generate additional requirements on their myIIT portal.