2024-2025 Parent PLUS Loan Request Form

2024-2025 Parent PLUS Loan Request Form
What Academic School Year is this request for?
Student Information
Name

First NameLast Name
Student ID
Social Security #
Parent Borrower's Section
Your Parent is required to sign this worksheet. Please enter their contact information below. They will receive an email inviting them to complete their portion of this form and add their electronic signature. Please remind them to check their Junk email folder if the invitation does not arrive in their Inbox. This form cannot be processed without their signature.
Parent Name

First NameLast Name
Parent SSN
Parent DOB

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Email*
example@example.com
Parent Phone Number
Please enter a valid phone number.
Parent Citizenship Status
Please select one of the following options:
USCIS # (A-Number):
Amount Requesting

I would like to request a loan for the following semester. Note: Provide a specific dollar amount below or check mark "maximum" if you wish your loan(s) maximized.

	Parent PLUS Loan Amount	Maximum
Fall 2024
Spring 2025
Summer 2025

Parent Authorization and Student Signature
Consent to Obtain Credit Report: I the parent consent to the U.S. Department of Education and its agents obtaining a report of my credit record and using the information from that report in determining whether to make a Direct PLUS Loan to me. I understand that I will be notified in writing of the results of the credit check with respect to my loan application.

Disbursement Information: I understand these proceeds will pay all required institutional charges and my student will receive any residual funds, to be used for any remaining educational expenses.
Student Signature

Clear
Date*

MonthDayYear
Date
Parent Signature

Clear
Date

MonthDayYear
Date
Have Questions About Your Financial Aid?

Financial Aid Office Contact Information

Address: ATTN: Financial Aid Office 3240 Fort Rd., Toppenish, WA 98948 | Phone: (509) 865-8502 | Email: financial_aid@heritage.edu
Should be Empty:

2024-2025 Parent PLUS Loan Request Form

Student Information

Parent Borrower's Section

Parent Citizenship Status

Amount Requesting

Parent Authorization and Student Signature