FEDERAL DIRECT PLUS LOAN REQUEST FORM
I, _ am requesting
Please print - Parent: Last Name, First Name, Social Security Number
funding
from
the
Federal
Direct
PLUS
Loan
program
for
Please print - Student: Last name, First Name, Student ID#
my dependent student’s attendance at Wharton County Junior College during the 2020-2021 academic
year:
Federal Parent Loan for Undergraduate Students (PLUS) for $ _
(Maximum amount is cost of attendance minus other financial aid.) MUST INCLUDE AMOUNT
My signature below indicates my understanding that I am borrowing money and agree to repay the funds
in the manner prescribed in the associated promissory note(s).
I authorize Wharton County Junior College to refund any credit balance from my Parent PLUS loan directly
to my son/daughter.
Student Borrower Signature Date Social Security Number/Student ID#
Parent Borrower Signature Date
The following information must be completed to process the PLUS loan request:
I am an U.S. Citizen I am an eligible, Non-Citizen
Are you currently in default on a federal loan? YES NO
Parent
Borrower
Legal
Name
:
Please print
Parent
Borrower
Social
Security
Number
:
Parent Mailing Address:
Number Street
City State Zip Code
Parent
Phone
Number
:
Parent
Date
of
Birth
:
Parent
email
address
:
11/2019
