Fillable Loan Change Form (California State University Channel Islands)

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Loan Change Form (California State University Channel Islands)

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FA-20 / 18-19 Page 1 of 1
2018-2019 Loan Change Form
PLEASE RETURN THIS FORM TO THE CSU CHANNEL ISLANDS FINANCIAL AID & SCHOLARSHIPS OFFICE
One University Drive, Camarillo, California 93012-8599 financial.aid@csuci.edu www.csuci.edu/financialaid Tel: (805) 437-8530
Student Last Name
Student First Name
CSUCI ID Number
Student Phone Number
This form allows students to request reinstatement of loans, cancellation of previously accepted loans or customization of term loan
amounts. To view the full terms of the loan change request, please visit our website at www.csuci.edu/financialaid/loanchange
Please allow up to 30 business days for your request to be processed.
The deadline to complete all loan requirements (Loan Entrance Counseling and MPN) and submit loan change requests are as follows:
Fall 2018 Semester - December 14, 2018
Spring 2019 Semester - May 17, 2019
1.
When do you expect to complete your current program/degree/credential?
Direct Loan Grade Level Annual Limits
Graduating Semester
Graduating Year
Student
Subsidized or
Additional Unsubsidized
Grade Level
Unsubsidized
Dependent *
Independent
2.
Increase/reinstate my loan(s) to my maximum eligibility
Freshman (0-29 units)
$3,500
$2,000
$6,000
Select all that apply. If not applicable, skip to next question…
Sophomore (30-59 units)
$4,500
$2,000
$6,000
󠇈 My Subsidized Loan
󠇈 My Unsubsidized Loan
󠇈 My Parent PLUS Loan
Junior (60-89 units)
$5,500
$2,000
$7,000
Senior (90+ units)
$5,500
$2,000
$7,000
Teaching Credential
$5,500
n/a
$7,000
Graduate (Masters)
$20,500
n/a
n/a
*If Parent PLUS loan credit decision is denied, see independent limits
3.
Cancel or change my loan amount
Fall Semester
Spring Semester
My Subsidized Loan
󠇈 Cancel OR 󠇈 Change to $___________
term total
󠇈 Cancel OR 󠇈 Change to $___________
term total
My Unsubsidized Loan
󠇈 Cancel OR 󠇈 Change to $___________
term total
󠇈 Cancel OR 󠇈 Change to $___________
term total
My Parent PLUS Loan
󠇈 Cancel OR 󠇈 Change to $___________
term total
󠇈 Cancel OR 󠇈 Change to $___________
term total
My Private Education Loan
󠇈 Cancel OR 󠇈 Change to $___________
term total
󠇈 Cancel OR 󠇈 Change to $___________
term total
Note: You have the right to cancel your loan within 14 days of either the first day of class or the disbursement of the
funds to your account, whichever is later. If more than 14 days have passed, it is your responsibility to return any
unwanted funds directly to your loan servicer.
Authorization Signature
By signing below I am verifying that the information on this form is true and complete to the best of my knowledge. I am aware that
this form serves as my acceptance or cancellation of federal student loan funds that must be repaid according to the conditions of the
Master Promissory Note. I also certify that any money I receive under student financial aid programs will be used solely for educational
expenses related to attendance at California State University Channel Islands (CSUCI).
For Office Use Only:
Student Signature (electronic signatures not accepted)
Date
FAA Initials
Date
Parent Signature* (electronic signatures not accepted)
Date
3C’s Notes:
*Parent PLUS Loans only
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Loan Change Form (California State University Channel Islands)

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Completed 22 July 2020

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