FinAid: Parent PLUS Data Sheet

Office of Student Financial Aid

Division of Student Engagement & Enrollment Services

2002 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-3683 ● Fax: (757) 683-5920
Parent PLUS Data Sheet

*** In addition to submitting this form to the Office of Student Financial Aid, please go to STUDENTAID.GOV to complete the Direct PLUS Loan application online ***
Date Date * / MM / DD YYYY
Student Name Student Name * First Last
Student UIN *
Aid Period *
Student MUST be enrolled in a minimum of 6 credit hours to be eligible to receive a PLUS loan.

Are you enrolled in 6 or more credit hours? *

Are you enrolled in 6 or more credit hours? Yes No

Dear Parent:

We have received your request for a Federal Direct Parent PLUS Loan. In order to process your request, the data sheet provided below must be completed and signed. Please complete all applicable items listed and return the form to the financial aid office, or fax to the number listed above.
NOTE: If you are not listed as a parent on the student’s FAFSA, please attach a copy of the student’s birth certificate or a notarized statement confirming parentage. Contact your financial aid counselor if you have any questions.
PLEASE BASE YOUR LOAN REQUEST ON FUNDS NEEDED FOR THE ACADEMIC AID YEAR. Please note that a *4.228% loan origination fee will be deducted from the requested loan amount. If your Parent Plus loan is approved, please complete the Parent PLUS Electronic Master Promissory Note (EMPN) at www.studentaid.gov
Please note: LOANS MUST BE SPLIT EVENLY BETWEEN EACH TERM.

Parents who are approved with an appeal or an endorser are required to complete PLUS loan counseling online at studentaid.gov
For additional funding: If this parent plus loan is denied, I certify that I will not seek a co-signer. This will allow my son or daughter to receive additional Unsubsidized Loan funding for the aid year.
* Loan fees subject to change.

Thank you,

Office of Student Financial Aid

Parent Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Parent Name Parent Name * First Last

Parent Date of Birth Parent Date of Birth / MM / DD YYYY

Parent Social Security Number *

Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone Number Phone Number * - ### - ### ####

Citizenship *

Parent Alien ID Number *

Parent Alien ID Number Not Applicable Alien ID Number Alien ID Number

If you choose "US Citizen" for citizenship, you do not need to provide "Alien ID Number" otherwise it is required.

Driver's License Number *

Driver's License State *

Request Loan Amount($) *

Are you in Default on a Federal Loan? *

Are you in Default on a Federal Loan? Not in Default In Default

*If yes, we will not be able to process your request at this time*

Parent's Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Parent's Email *

FinAid: Parent PLUS Data Sheet

Office of Student Financial Aid Division of Student Engagement & Enrollment Services 2002 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-3683 ● Fax: (757) 683-5920

Parent PLUS Data Sheet

Office of Student Financial Aid

Division of Student Engagement & Enrollment Services

2002 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-3683 ● Fax: (757) 683-5920