UNIVERSITY OF NEW MEXICO - UNM Financial Aid

1 Student Financial Aid Office Phone: 505-277-8900 Fax: 505-277-6326 MSC 11-6315 1 UNIVERSITY of New MEXICO Albuquerque, NM 87131 FEDERAL DIRECT PLUS LOAN REQUEST Section A: Student Information Student s Name UNM ID No. Date Phone Address Eligibility Requirements: Biological or adoptive parent or stepparent; Citizen or eligible noncitizen; not in default on a federal education loan; cannot owe an overpayment on a federal education grant; cannot have an adverse credit history; completed FAFSA and Financial aid file. Section B Parent Borrower Information (please list only one parent) Parent Name Parent Date of Birth Parent SSN Phone Number Driver s Lic# & State Email Address Street Address City, State, ZIP Section C Authorization and Disbursement I hereby authorize UNM to use these loan funds to pay allowable charges in addition to tuition/fees and room/board.

2 I understand that allowable charges may include, but are not limited to: bookstore charges, library fines, parking fees, returned check charges, student health fees and service charges. (Check One) Yes No You may withdraw your authorization at any time by notifying the Financial Aid Office at the campus your daughter/son is attending in writing. Parent PLUS Loan funds will be disbursed directly to the student s Bursar Account. If the PLUS Loan funds create a credit balance, please indicate whether you would like the refund to be sent to you or to your student. If you leave this item blank, the refund will be mailed to you (the parent borrower) in the form of a check to the address you listed above. Please send the refund to me (the parent borrower). Please send the refund to the student. Section D Loan Request Parent PLUS Loan Amount $ Please indicate the semester, year and amount of the award.

3 (cannot exceed one academic year) Fall 20_____ Spring 20_____ Summer 20_____ Parent next steps If your credit is approved, you must sign a Master Promissory Note by logging into with your FSA user ID in order for the funds to disburse. Student next steps If you wish to be considered for an unsubsidized loan in the event your parent is determined not to be eligible for a PLUS loan, please indicate the amount and semesters below. Additional Unsubsidized Loan Amount $_____ Fall 20_____ Spring 20_____ Summer 20_____ By signing this form, I (the parent borrower) authorize the Department of Education and its agents to perform a credit check to determine eligibility for the Federal Direct Parent PLUS Loan and report my credit check results to the school as part of my application for the loan. You will be notified by the Dept. of Ed. in writing in respect to your loan application.

4 Parent Signature Date Signed The UNIVERSITY of New MEXICO is an Equal Opportunity/Affirmative Action Institution. Pursuant to the Americans with Disabilities Act, if you require this information to alternative format or have special needs, please contact the Office of Student Financial Aid for assistance. Revised Nov-18