LOAN REQUEST FORM - Please Print
COMPLETE FORM IN INK AND RETURN TO THE FPC STUDENT FINANCIAL SERVICES OFFICE
Social Security Number:
Date of Birth:
To be eligible to receive a student loan I must be enrolled in and attending at least 6 credit hours in a term
and maintaining a minimum 2.0 GPA, and have a complete processed FAFSA (Free Application for Federal
Student Aid), and a completed financial aid file, this file will include the following:
Entrance Counseling Session and the Master Promissory Note (MPN) located on
the Department of Education Direct Loan website at: www.studentaid.gov
I understand my loan will not be processed until I have completed these two items. (Initial)
I have had a prior student Loan:
Term Loan is requested for: Fall/Spring__________ Fall Only ___________ Spring Only _________
Please specify the amount of loan you wish to have for the entire loan period: ___________________
I understand by signing this request I agree and accept the award amount listed above* and that Subsidized
loans will be awarded first if I'm eligible.
Your loan amount may be less than you request, please refer to the following website:
www.studentaid.gov for a detailed explanation of how loans are processed.
Loans are disbursed in two installments one disbursement in the Fall and one disbursement in the Spring
Remaining funds will be placed on your student ID card after all tuition and fees have been paid if applicable.
Fall only and Spring only loans are disbursed twice in each term, two installments in Fall and two in Spring.
Loans will only be processed when all "Official" school transcripts are received when applicable.
I have read the Satisfactory Academic Progress Policy of Student Financial Services as posted on the
FPC web page. I do have the option to change, modify or cancel my loan by submitting a written
request to the Financial Services Office.
Frank Phillips College ** PO Box 5118 ** Borger TX **79008-5118** ( 806)457-4200
Frank Phillips College is an equal opportunity education institution and employer. Its students and employees are selected and/or
assigned without regard to age, race, color, creed, sex, national origi
n, or disability, consistent with Titles VI and VII of the Civil Rights
Act of 1964, and Title IX of the Higher Education Act amended in 1972, and Section 504 of the Rehabilitation Act of 1973. The
compliance coordinator for Title IX is Dr. Shannon Carroll (email@example.com; 806-457-4200, ext. 732) and Section 504 is Becky
Green (firstname.lastname@example.org; 806-457-4200, ext. 777).
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