NCCC
FEDERAL DIRECT LOAN REQUEST
FORM
Name:_____________________________________
Last First Middle
Student ID @______________________________
Email:_____________________________________
NCCC
Program of study:__________________________
Graduation Date:_______________
Fall # of Credits____________
Amount requested $_________________________
Spring # of Credits__________
Amount requested $_________________________
Summer # of Credits ________
Amount requested $_________________________
Borrower Certification: Please read
carefully and initial
I certify that the information provided is true
and correct.
_____
I understand that I am applying for a student
loan that must be repaid even if I do not complete my
educational program.
_____
I understand that tuition, fees, or book charges
made against a loan will be my responsibility if my
loan is not approved or I do not complete all
requirements.
_____
I understand that the loan will disburse in two
equal installments even if the loan period is only for
one semester. Loans do not disburse before 30 days
of the term.
_____
I understand that I must meet the standards of
Satisfactory Academic Progress to receive a loan
disbursement each semester.
_____
I understand that I must complete an in-person
Entrance Counseling Session before any loan
amounts disburse.
_____
I understand that I must complete an Exit
Counseling Session when I am no longer enrolled at
least half- time.
_____
I understand that I must complete a Master
Promissory Note (MPN).
_____
___________________________________________
Signature of Borrower Date
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FOR FINANCIAL AID OFFICE USE ONLY
Total Borrowed $Check NSLDS __________ ____________
Loan Servicer ______________________________________
Check ReferencesMPN _________ _____________________
Entrance Counseling Completed on ____________________
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REFERENCES: You must provide two (2) separate
references with different U.S. addresses. The first reference
should be a parent (if living) or relative. ALL references
must be completed in full.
Reference A: Parent or relative
Name
___________________________________________________
Street
Address____________________________________________
___________________________________________________
City/State/Zip
___________________________________________________
Phone ( )
___________________________________________________
Relationship to Borrower
___________________________________________________
Reference B:
Name
___________________________________________________
Street
Address____________________________________________
___________________________________________________
City/State/Zip
___________________________________________________
Phone ( )
___________________________________________________
Relationship to Borrower
___________________________________________________
NORTHWESTERN CT COMMUNITY
COLLEGE FEDERAL DIRECT LOAN
REQUEST FORM
NCCC participates in the Federal Direct Loan
Program and follows the regulations and policies
associated with responsible financial planning. As
amended by the Student Aid Reform Act, loan
funds now come directly from the federal
government rather than from private lenders. It
is important that students remember to apply for
grants and scholarships first, before an education
loan, as they do not have to be repaid. It helps to
avoid having to take on education debt at the
community college level.
Acceptance of this philosophy to avoid long-term
education loan debt has resulted in NCCC
students finding a less costly way to meet their
tuition and fees obligations. If you have examined
the options for installment payments with an early
payment option, but find it absolutely necessary to
borrow a Federal Direct Loan, you must:
Apply for admission to NCCC early and
complete all requirements for that process.
File the Free Application for Federal
Student Aid (FAFSA) well before the
intended academic term.
Complete and submit this “Loan Request
Form” at least two months before the
academic term for which it is intended.
Understand that the request for a loan is
forwarded to a Loan Review Committee
for examination of academic and financial
history. The Committee retains the
authority to approve, deny, or reduce the
loan amount of the request and inform the
Financial Aid Office of its decision.
Decisions made by the Loan Review
Committee may not be appealed to the U.S.
Department of Education.
Upon approval of a loan request, even for a
reduced amount, the Financial Aid Office
will notify you that you need to make an
appointment to complete a Loan Entrance
Counseling session to ensure that you fully
understand your rights and
responsibilities. Failure to complete this
counseling will result in your loan request
being denied.
Understand that Federal Direct Loans are
disbursed to the NCCC student’s tuition
account in at least two equal installments.
Federal Direct Loans cannot be disbursed
until 30 days of an academic term have
elapsed.
Understand that you have the right to cancel or
reduce the loan’s request before disbursement and
up to 14 days after disbursement by providing a
written request to either NCCC’s Financial Aid
Office or Cashier’s Office.