2025-2026 Graduate PLUS Loan Request Form

2025-2026 Graduate PLUS Loan Request Form
Student Information
Name*

First NameLast Name
Student ID*
Social Security #
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*
Please enter a valid phone number.
DOB*

MonthDayYear
Date
Requirements
I certify that I meet or will meet the student eligibility requirements below*

Complete the 2025-2026 FAFSA at www.fafsa.govComplete the Entrance Counseling at www.studentloans.govComplete the PLUS Loan Counseling at www.studentloans.govComplete the Grad PLUS Master Promissory Note (MPN) also at www.studentloans.gov
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.)
Fall 2025*
Grad PLUS Loan Amount
OR

I want to borrow the maximum amount for Fall.
Spring 2026*
Grad PLUS Loan Amount
OR

I want to borrow the maximum amount for Spring.
Summer 2026*
Grad PLUS Loan Amount
OR

I want to borrow the maximum amount for Summer.
REASON FOR LOAN
Please explain why you are requesting a loan
Authorization
Consent to Obtain Credit Report:

I consent to the U.S. Department of Education and its agents obtaining a report of my credit and using the information from that report in determining whether to make a Direct Graduate 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.
Student Signature*

Clear
Date*

MonthDayYear
Date
Have Questions About Your Financial Aid?

Financial Aid Office Contact Information

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

2025-2026 Graduate PLUS Loan Request Form

Student Information

Requirements

Amount Requesting

REASON FOR LOAN

Authorization