College of DuPage 2020-2021 Alternative Loan Request Form
Office of Student Financial Assistance
2020-2021 Alternative Loan Request Form Revised 04/20/20
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 2020 and ending Summer Semester 2021. 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.
Part I – Required Information:
Select the loan period(s) you wish to receive your loan.
ll and Spring Semesters August 24, 2020 to May 21, 2021
Fall, Spring & Summer Semesters August 24, 2020 to August 09, 2021
Fall Semester Only August 24, 2020 to December 18, 2020
Spring Semester Only January 25, 2021 to May 21, 2021
Spring and Summer Semesters January 25, 2021 to August 09, 2021
Summer Semester Only Jun 01, 2021 to August 09, 2021
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 2020 $ Spring Semester 2021 $ Summer Semester 2021 $
Are you taking a non-credit Continuing Education Program? If Yes, list your program then skip to Part II.
Please submit documentation of the Continuing Education program that you will be taking especially if the program starts outside of the standard
Accredited Degree/Certificate Program: Estimated Graduation Date:
Estimated Enrollment - Enter the number of credit hours you plan to enroll in each semester.
Fall Semester 2020 Spring Semester 2021 Summer Semester 2021
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
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:
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) or
paper check, 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: email@example.com