Get Parent Data Form

515. 4700 1601 SW 80th Terrace Plantation FL 33324 12650 Ingenuity Drive Orlando FL 32826 Federal Direct Loan Program Parent Data Form This form must be completed by all parents of dependent students who will be utilizing Title IV federal aid. Some exceptions may apply. Financial Aid Office 6301 Kaplan University Avenue Fort Lauderdale FL 33309 Tel 866. 527. 5268 Toll Free Tel 954. A new form is needed for each new academic year. Section I must be completed in its entirety and all applicable boxes must be checked in Section II. Please sign and date the form before submitting. Student Name Student SSN SECTION I Entire section must be completed Parent Information Last Name First Name M. I. Loan Amount Requested Street Address Social Security Number City State Zip Date of Birth Telephone Number All of the above fields are required* SECTION II Check all applicable boxes This section must be completed by the parent borrower. As a potential borrower of a Direct PLUS Loan please select one of the following I intend to apply for the Federal PLUS Loan* Note If you intend to apply for the Federal PLUS Loan you must agree to the terms and conditions of borrowing a Federal PLUS loan* You must also complete the PLUS Request Process on StudentLoans. gov request a Credit Check and if approved endorse a Direct PLUS MPN* Federal Plus Loan Amount Specific Amount must specify amount Maximum Amount Allowable Citizenship I am a United States Citizen* I am a Legal Resident Alien and my Alien Registration is. I am not a United States Citizen or Resident Alien* Default I am currently in default on a Federal Educational Loan* I am not currently in default on a Federal Educational Loan* Overpayment A n overpayment on a federal student loan or Title IV grant occurs when a student receives more Title IV grants or loans than the student s eligibility allows. If you are responsible for repaying an overpayment and if you fail to repay the overpayment or to make satisfactory arrangements for repayment you will be ineligible for Federal Student Aid funds until the overpayment is resolved* I do not intend to apply for the Federal PLUS Loan* Parent s Signature Date Please fax this completed form to Kaplan University Imaging Department toll free at 1. A new form is needed for each new academic year. Section I must be completed in its entirety and all applicable boxes must be checked in Section II. Please sign and date the form before submitting. Student Name Student SSN SECTION I Entire section must be completed Parent Information Last Name First Name M. Please sign and date the form before submitting. Student Name Student SSN SECTION I Entire section must be completed Parent Information Last Name First Name M. I. Loan Amount Requested Street Address Social Security Number City State Zip Date of Birth Telephone Number All of the above fields are required* SECTION II Check all applicable boxes This section must be completed by the parent borrower. I. Loan Amount Requested Street Address Social Security Number City State Zip Date of Birth Telephone Number All of the above fields are required* SECTION II Check all applicable boxes This section must be completed by the parent borrower. As a potential borrower of a Direct PLUS Loan please select one of the following I intend to apply for the Federal PLUS Loan* Note If you intend to apply for the Federal PLUS Loan you must agree to the terms and conditions of borrowing a Federal PLUS loan* You must also complete the PLUS Request Process on StudentLoans.