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 2019-2020 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: ________________________________________________________
09/18
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
