Bellin College Federal Direct PLUS Loan Request Form This form must be completed and returned to the Bellin College financial aid office before a Federal Direct PLUS Loan will be certified. Completion of this form confirms your intent to borrow a Federal Direct PLUS Loan and the amount you wish to borrow. The loan will be originated for the amount(s) you provide below (up to the maximum amount awarded), however, you may reduce or cancel an education loan at any time simply by notifying (in writing) the BC financial aid office. All new PLUS borrowers will need to complete a Master Promissory Note (MPN) before a loan can be disbursed. The MPN will be signed using your FAFSA PIN number. MPNs may be completed at www.studentloans.gov (parent borrower must Sign In to the site using her/his FAFSA PIN, then select Complete Master Promissory Note (MPN), Parent PLUS). Complete and return to: Financial Aid Office, Bellin College, 3201 Eaton Rd, Green Bay WI 54311. Please print clearly.
Parent Borrower’s Name: _______________________________________________________________________ Street Address: ___________________________________________ Phone #(_____)______________________ City, State, Zip: ______________________________________________________________________________ Social Security Number: ___________________________________
Birth Date: ______/______/______
Driver’s License Number: _______________________________________________ State Issued: __________ BC Student’s Name: ______________________________________________________________________ Student’s Social Security Number: ___________________________________
Requested PLUS Loan Amount (this cannot be left blank): $__________________ NOTE: The amount requested will be split evenly over the indicated enrollment terms per federal regulations. A processing fee (4%) will be deducted from the total amount borrowed prior to the disbursement of the loan proceeds. The interest rate on a Federal Direct PLUS Loan is fixed at 7.9%.
Enrollment Period (check all that apply—this loan will be evenly divided over the indicated enrollment terms):
▢ Check this box only if you give BC permission to release excess funds (after all Bellin College charges have been paid for each applicable enrollment term) from this loan directly to the student named above; if unchecked, excess PLUS loan proceeds will be refunded directly to you, the parent borrower. A written (and signed) note may be submitted to the BC bursar at any time to amend this decision. This applies only to the loan requested via this form. Signature of Parent Borrower: __________________________________________ Date: __________________
