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SUMMER FEDERAL DIRECT LOAN REQUEST FORM

All fields marked with an * (asterisk) are required and must be entered.

First Name*

Last Name*

CUNY First ID*

Date of Birth (MM/dd/yyyy)*

CUNY Email Address*

Street Address*

Apt No.

City*

State*

Postal Code*

Program*

Previous Borrowing

Have you ever received a Federal Stafford Loan (formerly Guaranteed Student Loan) or a Federal Direct Loan (prior to this application)?*

Yes
No (Pre-Loan Interview Required)

Graduate Students Only: Have you ever received a Federal Grad PLUS loan?

Yes
No , Grad PLUS Pre-Loan Interview Required

Anticipated Enrollment Status Note: Please register before submitting this form

Credits (must be registered for 6 credits)*

Residency

In State
Out of State

Expected Date of Graduation

ExpectedGradDateMonth*

ExpectedGradDateYear*

Subsidized Loan (undergraduate only)

Amount Maximum for which I qualify

An amount not to exceed

UnSubsidized Loan

Amount Maximum for which I qualify

An amount not to exceed

Grad PLUS Loan

Amount Maximum for which I qualify

An amount not to exceed

Applicant Certification

My typed signature and date below certifies that I understand that this is a loan request form, not a promissory note. If I am a first-time Direct Loan borrower, I must fill out, sign, and return the Master Promissory Note (MPN). If I have a multi-year MPN on file with the U.S. Department of Education, I am not required to sign a new MPN unless my MPN is about to expire or has expired. Further, I understand that my eligibility for Federal Direct Loans will be determined by the Office of Financial Aid based on Federal eligibility and need analysis requirements.

Should differences exist among your loan request information, loan related documents, your FAFSA and or related information, your typed signature below gives the Financial Aid Office permission to make adjustments electronically to your FAFSA application.

Student Applicant's Typed Signature* Date (MM/dd/yyyy)*