Return of Loan Funds Request
2019-20
Student Name: ________________________ Student ID or Star ID: ___________________
Address: ____________________________________________________________________
City: _______________________________________ State: _________ Zip: ____________
Email Address: ________________________________ Phone: _________________________
Step 1: Student completes this form and emails it to dottie.wolter@century.edu
Step 2: Financial Aid processes the request and notifies the Business Office.
Step 4: Student submits payment to the Business Office when amount due appears on student’s record.
Amount you want to return (whole dollars only, no cents)
$ ________________________.
For the following term (circle one term):
Fall Spring Summer
I understand that I am returning loan funds and that payments may be made to Century College online through
eServices or in person at the Century College Business Office.
________________________________________________________________ ___________________
Student Signature Date
________________________________________________ ______________
Parent Signature (If PLUS Loan return) Date
Office Use Only:
Net Amount Returned: Sub $______________ Unsub $_________________ PLUS $____________________
ISRS _____ Run Aid Applied _____ COD _____ Email to Business Office _____
Financial Aid Office
3300 Century Avenue North
White Bear Lake, MN 55110
Phone: 651-779-3305
Fax: 651-779-5816
E-mail: dottie.wolter@century.edu
A MEMBER OF THE MINNESOTA STATE COLLEGES & UNIVERSITY
SYSTEM
AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER &
EDUCATOR
click to sign
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