Consent to Obtain Credit Report
For Federal Direct Parent Loan
The student of a parent that has an adverse credit history may be eligible to borrow additional funds from the Direct
Unsubsidized Student Loan Program. Parent - please complete this form, sign at the bottom, and submit it to the Financial
Aid Office. The Financial Aid Office will then enter the information on the Federal Direct Parent Loan website to see if you are
denied a Parent Loan. You will be notified in writing of the results of the credit check, and if you are denied, the Financial Aid
Office will post a revised Award Letter to the student’s eServices account.
Student Information (REQUIRED) – Please print clearly
Name __________________________________________ SSN ______________________ DOB ___________________
Parent Information (REQUIRED) – Please print clearly
Name __________________________________________ SSN ______________________ DOB ___________________
Are you a US Citizen? ____Yes ____No (check one)
Permanent Address ________________________________________________________________________________
City State Zip __________________________________________________________ Phone: ____________________
I consent to the U.S. Department of Education, its agents, and the Financial Aid Office Staff at Fond du Lac Tribal &
Community College obtaining a report of my credit record and using the information from that report in determining
whether to make a Direct PLUS Loan to me. I understand that I will be notified in writing of the results of the credit check
with respect to my loan application.
______________________________________________________________ ___________________
Parent Signature (must be signed in blue or black ink, not electronically) Date
An affirmative action, equal opportunity employer and educator. This document is available in alternative formats to individuals with disabilities. Consumers with
hearing or speech disabilities may contact us via their preferred Telecommunications Relay Service. (July 7, 2016)
2101-14th Street Cloquet, MN 55720 | 218-879-0800 | www.fdltcc.edu | FAX: 218-879-0814
SCAN-EMAIL OR FAX OR MAIL THIS COMPLETED AND SIGNED FORM TO:
dsutherland@fdltcc.edu -or- (218) 879-0814 -or- FDLTCC Financial Aid Office 2101-14th Street Cloquet, MN 55720
