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Loan,Education,Justification,Application
YOUMUSTBEENROLLEDFORAMINIMUMOF6HOURSPERTERMTOBECONSIDEREDFORALOAN.
Please complete and return this form to the Financial Aid Office, New River Community and Technical College, 280 University
Drive, Beaver, WV 25813. This information will help determine your eligibility student loans.
Please print in ink.
Name: _____________________________________________________ Student ID # ____________________________
Address: ______________________________________ City: ___________________ State: ______ Zip: _________
New River E-mail Address: _______________________ Home Phone: ______________ Cell Phone: ________________
1. Statement of Educational Purpose: I certify that I ____________________________________ am the individual signing
(Student’s Name)
this Statement of Educational Purpose and that the federal student financial assistance I may receive will only be used for
educational purposes and to pay the cost of attending New River Community and Technical College for 2020-2021.
Please list the estimated amounts for the loan you are requesting:
Total Amount Requested: ____________
(Base amt. on entire year when applicable.)
2. Please list 2 contacts. This must be someone that does not live in your household, but has regular contact with you.
Name: _____________________________________________________ Relationship: ____________________________
Address: ______________________________________ City: ___________________ State: ______ Zip: __________
Home Phone: __________________________ Cell Phone: _____________________ Work Phone: ________________
Name: _____________________________________________________ Relationship: ____________________________
Address: ______________________________________ City: ___________________ State: ______ Zip: __________
Home Phone: __________________________ Cell Phone: _____________________ Work Phone: ________________
3. List your current cumulative grade point average: __________
(Astudentreceivingfederalaidmustmaintainanoverall2.0institutionalcumulativegradepointaverageandcompleteatleast
67%ofallinstitutionalhoursattemptedtoremainingoodstandingwithfinancialaid.)
4. What is your current total loan debt? __________ Attach Required Documentation
(Please go to http://nslds.ed.gov
,
Financial Aid Review, read and click Accept, enter your FSA ID information. Please print
out your loan history and attach the document to this form. This must be attached for loan consideration, even if you do not
have loan debt. If you do not have loan debt, please print the NSLDS notice that states, “your identifiers were not found in
NSLDS’, write your name and ID on this page and attach it to this document.)
5. What is your current Financial Aid award? ____________ Attach Required Documentation
Please go to your self- service account and print you current account summary and attach it to this form. (To access your self-
service account: Please use Mozilla Foxfire and go to newriver.edu
sign in to “My New River” – Click SS Banner – Click
Student – Click Student Accounts – Click Account Summary) If you have recently turned in the requirements to process your
aid and it has not been awarded, you must wait for that award before submitting this loan application.
Fall 2020 Spring 2021
Tuition and Fees
Books
Transportation
Other (please list purpose and amount):
Campus:_________________
6. Under Federal Financial Aid guidelines all first time borrowers are required to complete entrance counseling.
Under Federal Financial Aid guidelines any student that has loans is required to complete exit counseling upon deciding to no
longer attend school, or graduation. Entrance and Exit Counseling are completed online at www.studentloans.gov.
Please initial here to acknowledge that you understand the Federal Financial Aid guidelines for Entrance and Exit
Counseling. __________
7. Due to the FERPA (privacy) guidelines, Financial Aid can only respond with specific financial aid account information to
newriver.edu e-mail accounts. Documents received by e-mail can only be downloaded for print when sent from a newriver.edu
e-mail account. (Please be aware e-mail is our main source of communication.)
Please initial here to acknowledge that you understand this FERPA e-mail guideline. __________
8. Upon full completion and approval of this Loan Education, Justification, Application form, your Financial Aid Counselor will
contact you to set up a time for loan education counseling. (Please check your New River e-mail.)
Please initial here to acknowledge that you understand loan education counseling is required. __________
The Consequences of Student Loan Default
Student Borrower Certifications and Signature
ThestudentsigningbelowcertifiesthatyouhavereadandunderstandtheConsequencesofStudentLoanDefaultandthatallof
theinformationreportediscompleteandcorrect.
_____________________________________________________
Student’sSignature Date
Financial Aid Office Use Only!
FA Counselor FA Manager
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Circle one: Offering of the loan APPROVED / DENIED
Notes:________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
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Loan Amt. Offered:
Fall Spring
SUBLOAN
UNSUBLOAN
____________________________ _______
LoanAuthorizingFAAdministratorSignatureDate
WARNING: If you purposely give false or
misleading information, you may be fined,
sent to prison, or both.
Credit report damage (7 year minimum)
Wage garnishment
Seizure of federal & state tax refunds
Seizure of portion of any federal payment
Legal action in federal district court
No Federal Financial Aid (Title IV ineligible)
May lose state occupational license
No mortgage loans
May have difficulty obtaining car loans
May be unable to rent an apartment
May be turned down for jobs
Collection costs
FACounselorLEJA–UinRRAAREQwhenformreceived&
completeSATPROsection.
Inst.Attempted_____Inst.Passed________
%_________Inst.CumulativeGPA________
#HoursEnrolled:_______ 
SATPRO
LoanOffered
Date & time for Loan Ed. Counseling
(COUEDU–RinRRAAREQ)
__________________ _________
DateTime
DateLoanEd.CounselingComplete:
COUEDU–SRRAAREQ
Loanacceptanceformcomplete:LOAN–SRRAAREQ,ACPTloan
RPAAWRD.)
_________________ ___________
CounselorInitialDate
LoanDenied
‐NotificationsentviaNRemail
_________________ ___________
CounselorInitialDate
click to sign
signature
click to edit