SUNY Schenectady County Community College
78 Washington Ave, Schenectady, NY 12305
Phone (518) 381-1468 Fax (518) 381-1477 Email
The Federal Direct Parent Loan for Undergraduate Students (PLUS) is a non-need based federal loan
program. The lender is the U.S. Department of Education rather than a bank or credit union. If you are
interested in borrowing a William D. Ford Direct PLUS Loan, please complete this form and return it to the
Financial Aid Office. Additional information about PLUS loans is available at
To be completed by the parent
Parent Name:
Social Security Number: ____
Date of Birth:
Citizenship: ( ) US Citizen ( ) Permanent Resident _
Registration Number
Street City State Zip Code
Drivers License: State #
Relationship to student ( ) Father, ( ) Mother, ( ) Stepparent, ( ) other (specify)
Total Amount You Wish to Borrow:
Loan period please check One: ( ) ½ Fall & ½ Spring, ( ) Fall only, ( ) Spring only
Important note: If you will be borrowing for both the Fall and Spring semesters we recommend that you
apply for Fall and Spring loans at the same time
Master Promissory Note (MPN):
( ) I have a Federal Direct Loan PLUS MPN on file from a prior year, or
( ) I have signed a PLUS MPN online at on / /
I, the parent borrower, authorize the Student Business Office at Schenectady County Community College
to apply all PLUS funds to any charges on the students account including tuition, fees, bookstore
charges, and any other charges that the student may authorize or cause to be assessed against the
student account. By signing below, I confirm that I am not in default on a federal student loan. All
PLUS loan funds in excess of the students charges will be refunded to the parent. I give Schenectady
County Community College permission to submit my PLUS loan application information to the U.S.
Department of Education in order to complete the required credit check.
Parent/Borrower signature Date
To be completed by the student
Student Name Date of Birth Student ID Number or SSN
To be completed by the Financial Aid Office
Amount approved Loan period Date originated Completed by
click to sign
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