LOAN REQUEST FORM - Please Print
2020-2021
COMPLETE FORM IN INK AND RETURN TO THE FPC STUDENT FINANCIAL SERVICES OFFICE
Students Name:
Social Security Number:
Date of Birth:
Home
Phone Number:
Cell Number:
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:
Yes
No
Term Loan is requested for:
Sum1
Sum2
SummerLong
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.
Student Signature
Date
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 origin, or dis
ability,
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 (scarroll@fpctx.edu; 806-457-4200, ext. 732) and Section 504 is Becky Green
(bgreen@fpctx.edu; 806-457-4200, ext. 777).
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signature
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