Edison State Community College
2020-2021 Federal Direct Student Loan Request
Name: ___________________________________________________________ SSN: ______________________________
(Last, First, Middle)
Date of Birth: _________________ Student ID: ___________________________
I have completed the applicable steps:
1. Read and understand the Borrower’s Rights and Responsibilities at: https://www.edisonohio.edu/Printable-Forms/
(Suggested)
2. Entrance Loan Counseling with the Dept. of Education at: studentaid.gov (Required of first-time federal student
loan borrowers).
3. I have previously borrowed federal student loans and am not required to do another entrance loan counseling.
4. A valid Master Promissory Note
specific for Edison State CC with the Dept. of Education at: studentaid.gov
5. Loan Types (Choose One) (Selecting only subsidized loans may decrease your loan amount)
ONLY Subsidized or Subsidized and Unsubsidized Federal Stafford Loan
6. I plan to be enrolled in: (select one option for ALL of the terms for which you wish to borrow)
Summer 2020 Fall 2020 Spring 2021
6-11 credit hours 6-11 credit hours 6-11 credit hours
12 or more credit hours 12 or more credit hours 12 or more credit hours
7. Amount Requested
For the terms I have selected, I wish to request this amount: $______________
Grade Level 1 - Independent Student Grade Level 2 - Independent Student
$3,500 Subsidized Loan $4,500 Subsidized Loan
$6,000 Additional Unsubsidized $6,000 Additional Unsubsidized
Grade Level 1 - Dependent Student Grade Level 2- Dependent Student
$3,500 Subsidized Loan $4,500 Subsidized Loan
$2,000 Additional Unsubsidized $2,000 Additional Unsubsidized
Parent Loan (PLUS) Parent Loan (PLUS)
Grade Level 1 = successful completion of less than 30 college-level credit hours
Grade Level 2 = successful completion of 30 or more college-level credit hours
9. Anticipated Graduation Date
May August December of Year: _________________
10. I or my spouse is receiving a military housing allowance (BAH) or live on a military base yes or no
I live with my parents who are receiving a military housing allowance (BAH) or live on a military base yes or no
11. Please list the number of children under the age of 12 for whom you will be paying childcare costs during
the terms for which you wish to borrow:
Name
Age
Student Certification
I certify that all the information on this application is true and complete. I recognize that it is my responsibility to read the Borrower Rights and Responsibilities.
By signing below, I certify that these funds will be used for educational purposes and in accordance with the rules and regulations set forth by the Department of
Education. I further understand that it is my responsibility to notify the Office of Student Financial Aid of any changes to my enrollment. I understand that should
I fall below six credits in any term within the loan period prior to disbursement, that term disbursement, and all following disbursements will be cancelled
and a new loan request must be submitted to borrow again. I also understand I have the right to cancel all or a portion of my awarded loan amount.
Student Signature: ________________________________________________________ Date: ____________________
FOR OFFICE USE ONLY
Dependency Status I D
Degree Seeking ______________________________
Grade Level FR SOPH
Housing Status 1 2 3
EFC: _____________________________
First-year/First-Time Borrower Y N
NSLDS: ( ) No History ( ) Good ( ) Close to limits
SULA used: __________________________________
IMPORTANT LOAN INFORMATION
Subsidized Loan: The government pays the interest while the borrower is in school attending six or more credit hours and
during any periods of deferment.
Unsubsidized Loan: The borrower is responsible for all interest. Interest begins accruing as soon as the loan funds are
disbursed. The interest payments may be deferred while the borrower is in school attending six or more credit hours,
during their grace period, and during any periods of deferment.
The Department of Education will send you a Disclosure Statement for your student loan. READ THIS CAREFULLY! This
statement will inform you of the loan amount, the anticipated disbursement dates, and any fees deducted from the loan.
NOTE: The anticipated disbursement date is the anticipated date the loan will be posted to your student account.
This is NOT the date you will receive your funds in excess of on-campus charges.
REMEMBER: STUDENT LOANS MUST BE PAID BACK!!
Consequently, always be aware of the amount you borrow and your current outstanding loan balances.
There is a lifetime aggregate debt limit so you need to be aware of your loan balances to make sure you have enough
Eligibility remaining to complete your education.
For information regarding your loan and repayment options:
To see who your loan servicer is as well as contact information visit www.nslds.ed.gov
Create an account on your servicer’s website.
Visit https://studentaid.ed.gov/sa/repay-loans
to learn how to manage your loans.
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome