2026-2027 Loan Request Form

2026-2027 Loan Request Form

Notice: Loan amounts are based on your eligibility and enrollment status. If you are enrolled less than full-time, your loan may be prorated or reduced. Eligible students may also be offered the new OB3 Loan for the 2026–2027 award year.
Student Information
Name

First NameLast Name
Student ID
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Requirements
I certify that I meet or I will meet the student eligibility requirements below:
Amount Requesting

Note: Either specify a dollar amount below or mark "maximum" if you wish your loan(s) maximized. The loan processor will always increase subsidized loans first and unsubsidized last.

I would like to request a loan for the following semester:

(Note: If you are an undergraduate student requesting summer loans, you must complete a SUMMER Financial Aid Application first. This application is available in March.)
Student Signature

Submitting this application via Jotform constitutes your electronic signature. This application shall be deemed for all purposes to have been "signed" and will constitute an "original" when printed from electronic records established and maintained by the Office of Financial Aid & Scholarships, if an electronic signature is contained.
Student Signature
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 | Fax: (509) 677-4748 | Email: financial_aid@heritage.edu
Should be Empty:

Student Information