Student Information
Student Name ______________________________________________________________________________
Last First MI
Student ID # ______________________________________ Student DOB _____________________________
Primary Phone__________________________________ Email Address________________________________
******* IMPORTANT INFORMATION *******
You, the student, understand that you are requesting an additional unsubsidized loan, as a
result of your parent being declined a Parent PLUS Loan and not seeking an endorser/co-signer
or appealing the credit decision.
The unsubsidized loan begins accruing interest from the time funds are released until the time the
loan is paid.
For current interest rates go to www.studentaid.ed.gov/types/loans/interest-rates
******* HOW MUCH CAN I BORROW? *******
The actual amount of your loan eligibility will be determined by the LDCC Office of Financial Aid, not to exceed
$4,000 and not to exceed your financial aid Cost of Attendance. Check only one of the following:
I would like to borrow the maximum amount available to the student.
OR
I would like to borrow an amount specified for ONE of the following:
Academic Year $ _____________________________
(Summer 2019, Fall 2019, Spring 2020)
Fall 2019 ONLY $ ______________________________
Spring 2020 ONLY $ ______________________________
Summer 2019 ONLY $ ______________________________
You will be notified via your student email, once your loan has been awarded. My signature below
represents that I accept LDCC’s Terms and Conditions and the loan amount. My signature also
authorizes LDCC to transfer the loan proceeds to my Bank Mobile Disbursements refund choice. I certify
that the information furnished on this form is true and correct, to the best of my knowledge.
___________________________________________________________________________________________________________
Student Signature Date
OFFICE OF FINANCIAL AID
2019-2020 PARENT PLUS DENIAL
ADDITIONAL UNSUBSIDIZED REQUEST FORM
PHONE: 318-345-9003 MAIN CAMPUS
FAX: 318-345-9087 MAIN CAMPUS
EMAIL: FINANCIALAID@LADELTA.EDU
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