College of DuPage 2019-2020 Alternative Loan Request Form
Office of Student Financial Assistance
2019-2020 Alternative Loan Request Form Revised 01/18/19
Last Name First Name Student ID
Read all instructions carefully. Incomplete forms will cause delays in loan processing. This form is for students who wish to borrow under the
Alternative Loan Program for study within the period beginning Fall Semester 2019 and ending Summer Semester 2020. Your alternative loan
request will be processed after your eligibility has been verified by the Office of Student Financial Assistance. In addition, you must complete your
application with your lender, which will be forwarded by your lender to College of DuPage for the loan to be certified. You will receive notification
of your loan award via your myACCESS and student email accounts.
The school has the right to deny your request or cancel future term disbursements if you are not successfully completing your registered
courses each term. This could delay the posting of a future disbursement if we are monitoring the successful completion of your classes.
LOAN INFORMATION
Part I Required Information:
Select the loan period(s) you wish to receive your loan.
Fall and Spring Semesters August 19, 2019 to May 15, 2020
Fall, Spring & Summer Semesters August 19, 2019 to August 3, 2020
Fall Semester Only August 19, 2019 to December 13, 2019
Spring Semester Only January 18, 2020 to May 15, 2020
Spring and Summer Semesters January 18, 2020 to August 3, 2020
Summer Semester Only May 26, 2020 to August 3, 2020
Indicate the amount you wish to borrow each semester. A student may borrow up to the total cost of education minus all financial aid resources
including, but not limited to, grants, federal direct loans, work study, and scholarships. The Office of Student Financial Assistance has the
responsibility to lower the amount of loan requested if it is determined you are not eligible for the requested amount. If you are requesting an amount
above the standard cost of attendance due to a specific program with higher expenses or a study abroad experience, please attach documentation to
verify the additional expense. Must enter actual dollar amount requesting for each term maximum is not acceptable.
Amount requested for each term: Fall Semester 2019 $ Spring Semester 2020 $ Summer Semester 2020 $
Are you taking a non-credit Continuing Education Program? If Yes, list your program then skip to Part II.
Accredited Degree/Certificate Program: Estimated Graduation Date:
Estimated Enrollment - Enter the number of credit hours you plan to enroll in each semester.
Fall Semester 2019 Spring Semester 2020 Summer Semester 2020
What are your living arrangements?
With Parents. If yes, do you pay rent? Yes No With Roommates or Relatives On Own or with Spouse or Children
Part II:
Specify the lender name and address for the alternative loan you have applied for and completed an application with. The lender must send a
certification request to College of DuPage before your loan can be processed by College of DuPage:
Lender Name:
Address:
By signing this form, I understand that my eligibility for loan funds will be re-evaluated before each disbursement of my loan. I acknowledge that I
have read all the terms and conditions provided by my lender in applying for and in accepting this loan and the General Alternative Loan Information
on page 2. I understand when the scheduled disbursements of my loan funds are received by the school through Electronic Funds Transfer (EFT), the
funds will be automatically credited to my account with the college. Any loan funds in excess of my educational costs will be refunded to me. When
the College of DuPage receives my funds from my lender, I will be notified by email. You have the right to cancel your loan at any time prior to
the disbursement of funds to you.
Student Signature: Date:
Please return this form to:
College of DuPage, Office of Student Financial Assistance SSC 2220
425 Fawell Blvd., Glen Ellyn, IL 60137 FAX (630) 942-2151 EMAIL: loans@cod.edu
2019-2020 Alternative Loan Request Form Revised 01/18/19
General Alternative Loan Information
You must select a lender and complete their application prior to this Alternative Loan being certified. Lenders will provide a certification request to
College of DuPage through ELM Resources or other methods. A loan request cannot be processed until we have received the certification request
from your lender and the Alternative Loan Request Form.
All students are required to sign up for a payment plan at the time of registration. If you have submitted your Alternative Loan Request Form and
Lender Certification, please verify your eligibility for the deferred payment plan option with the Office of Student Financial Assistance. You may also
have to contact the Cashier’s Office if your Alternative Loan has been processed but you are not offered the Deferred Payment Plan.
Once your lender receives the College of DuPage’s enrollment certification, your lender will send you a Notice of Disclosure Statement (NDS)
providing you with important information regarding the loan, such as loan period, lender disbursement date(s), disbursement amounts and interest rates.
The disbursement date(s) indicate when your lender will send the alternative loan funds to the school.
Loan funds will not be disbursed to you any earlier than the first day of the start of each semester of the loan period:
Fall Semester 2019 August 19, 2019
Spring Semester 2020 January 18, 2020
Summer Semester 2020 May 26, 2020
Your lender will send your loan funds electronically (EFT) or by check to the College of DuPage. In order to receive the alternative loan funds, you
must be enrolled in the minimum number of credit hours required by your lender. Verification of your eligibility will be made before each disbursement
of your loan period. If you are not registered at the time the funds are received from your lender, your EFT funds or check will be returned to the lender
for cancellation. If you wish to have your alternative loan reinstated, you must submit a written request to the Office of Student Financial Assistance
and contact your lender for loan approval.
If your loan funds are received electronically, your funds will be placed directly on your student account. You will receive an email notification that
funds have posted to your account to your student email account. Any loan funds in excess of your educational costs will be refunded within
approximately 14 days of being placed on your account based on your refund method.
If your funds are received by check, you will be notified by email to pick up your check from the Cashier’s Office. The Cashier will release your
alternative loan check to you. If you have a balance owed to the College of DuPage for educational costs (i.e., tuition and fees), you must pay the full
balance to receive the alternative loan check or you can sign the check over to the College of DuPage to pay your balance. Any loan funds in excess
of your educational costs will be refunded within approximately 14 days of being placed on your account based on your refund method.
Please report, in writing, any changes in your plans to attend College of DuPage. If you wish to have your loan cancelled or reduced, submit your
written request to the Office of Student Financial Assistance. If you wish to have your loan reduced by any refund amount, complete the Return of
Loan Funds form and submit to the Office of Student Financial Assistance.
You may contact the Office of Student Financial Assistance at SSC 2220 in person, call 630-942-2251, or via email at loans@cod.edu
if you have any
questions about your alternative loan processing.
The College prohibits discrimination in its admissions, employment, and educational programs or activities on the basis of race, color,
sex, religion, creed, national origin, age, ancestry, marital status, sexual orientation, gender identity and expression, arrest record,
military status or unfavorable military discharge, citizenship status, and physical or mental disability. (Board Policy 5010; 20-5).
For Office Use Only:
SPRO: Completion Date:
STSC Enrollment: 2019FA 2020SP 2020SU
Budget: With Parents: With Roommate/Relative: Away:
Budget Increases: Child Care: Program Expenses/Tuition: Other:
SAP Status: Monitor completion? Y N Study Abroad Student
CRI Updated AIDE Updated Database Updated FA Rep Initials: Date:
Notes: _______________________________________________________________________________________________
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