Transcript
2015–2016 Academic Year
UNIVERSITY OF MINNESOTA DULUTH Active Confirmation Form Ford Federal Direct Parent Loan for Undergraduate Students (PLUS) Directions A master promissory note (MPN) for Ford Federal Direct Parent Loan for Undergraduate Students (PLUS) will be required. This allows one parent to complete a PLUS MPN when borrowing the first Direct PLUS loan that, in most cases, covers all subsequent PLUS loans for up to 10 years. However, before loan funds may be disbursed, the parent borrower is required to confirm and accept the amount of the loan debt incurred by completing and signing an Active Confirmation Form for each PLUS loan. The same parent borrower who completed (or is going to complete) the MPN must complete, sign, and return this Active Confirmation Form to the Office of Financial Aid. PLUS loan funds will be disbursed directly to the designated University student account for payment of on-campus tuition, fees, and other charges only after the signed form has been received by the Office of Financial Aid.
Complete this form in Adobe Reader software, not a Web browser, to ensure the privacy of your information. Place the cursor in a field and type. Print a copy to add the required signature(s) in blue or black ink.
Return this form on campus to: One Stop Student Services 23 Solon Campus Center
or mail to: One Stop Student Services University of Minnesota Duluth 1049 University Drive Duluth MN 55812-3011
or fax to: 218-726-8219 E-mail:
[email protected] Phone: 218-726-8000
Section A. Parent borrower information If you have ever attended or applied for admission to the University of Minnesota under a different name, you will need to provide a copy of your Social Security card to get your name changed in the U of M system before this loan can be processed. Last name–type or print neatly in ink
First
Middle
Email Address
Social Security Number
Birth date
Current mailing address: Street
City
State
Home telephone number (include area code)
Check one: U.S. citizen or national
(
)
Zip code
Permanent resident or other eligible non-citizen Alien registration number:
Who should receive the credit balance check for any excess funds remaining in the University student account after all tuition, fees, and other campus billings have been paid? Check one:
student
parent
Section B. Certification (parent borrower) I,
accept the Ford Federal Direct Parent Loan for
Undergraduate Students (PLUS) loan in the amount* of $
for my dependent student’s educational
expenses. My dependent student’s name is and his/her University student identification number is
. By signing this form, I certify
that all the information I have reported on this form is complete and correct. Parent borrower’s signature
Date signed
* You may borrow the PLUS loan amount offered on your student’s electronic Financial Aid Award Notice (eFAAN) or a lesser amount. You must list a specific dollar amount.
*002025*
To request copies of this form in an alternative format: 218-726-8000. UMD is an equal opportunity employer and educator.
http://www.d.umn.edu/onestop/forms/financial-aid/pdf/2016/plus_16.pdf
1/27/2015
