Parent Plus Loan Request Form

Student Name

Student BYUH ID #

Parent Borrower Last Name

Parent Borrower First Name

Parent Borrower Middle Name

Parent Borrower Email

Parent Borrower Contact Number

Parent Mailing Address

(Parent) US Citizenship?

Loan Amount Option

I would like to request a loan in certain amount

Package the PLUS loan for the maximum amount of the students' unmet need

Please indicate a loan amount if you do not want the maximum amount

Loan Period Instructions

Choose Loan period below in which you would like to receive offers for:

Only check the semesters that you will ACTUALLY be attending. Checking all semesters, including semesters you may not be attending could affect your loan eligibility.

2021-2022 Academic Year (Fall 2021, Winter 2022, Spring 2022)

2021 Fall (September 1, 2021 - December 10, 2021)

2022 Winter (January 5, 2022 - April 16, 2022)

2022 Spring (April 27, 2022 - June 25, 2022)

Is the student receiving any external (not given by BYU-H) scholarships?

Yes

No

If Yes, please list name of scholarship and amount receiving

After the charges on my students account have been paid (Choose one)

I would like to have any excess funds refunded to my student listed on this application

I would like to have any excess funds refunded to the parent borrower listed on this request form

What You Need to Do Now

1. Print your email confirmation and this page to save for your records.
2. Complete your Master Promissory Note and Credit Entrance Counseling for PLUS loans at the following website, StudentAid.gov.
3. Contact Financial Aid if you do not receive your loan amounts within two weeks of the first day of the semester in which you requested aid.

Certification

• I understand that I must be registered for at least 6 credits during a semester to receive my loan.
• I understand that loan fees may be deducted from the amount I request.
• I understand that if I have not listed all my external scholarships or loans that I could be over-awarded and may have to pay back the university for amounts in which I have been over-awarded.
• I understand that I will receive a confirmation email and if I do not, my request may not be processed and that I should contact Financial Aid & Scholarship.
• I understand that when I proceed with submitting this PLUS Loan request form, I certify that I understand the requirements and that the information submitted on the form is true and complete to the best of my knowledge.

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