Student Name:
Student ID No.:
Phone No.:
Date:
E-mail Address:
Which semester should this loan cover?
Fall 08/Spring 09
Fall 08
Spring 09
Summer 2008
Please Choose One:
I am requesting the maximum amount of loan that I qualify for.
I am requesting only the amount necessary to cover my current balance.
I am requesting a student loan in the amount of $
Will you be using this loan to help cover the cost of books?
Yes
No
If you do not qualify for your entire loan to be subsidized, would you like the remainder of it unsubsidized*?
Yes
No
Are you anticipating receiving and outside aid (3rd party benefits, employer reimbursement, VA benefits, Vocational Rehabilitation benefits, outside scholarships, etc.)?
Yes
No
*If yes, please contact Elizabeth Somers
Are you enrolled or planning to enroll in a course of study leading to a theology or divinity degree? (Note: Students majoring in a theology/divinity degree program are prohibited by the Missouri Constitution from participating in the Missouri Student Grant Program.)
Yes
No
NOTE: Returning students need not answer this question.
Do you authorize MBU to credit your federal financial Assisance to your MBU account for the following school-related charges: tuition, bookstore waiver charges, service fees (which may include parking fees, ID fee, assessment/technology fees, activity fees or other additional fees), lab fees, parking fines, housing and living expenses (not inclusive of all eligible fees)?
Yes
No
NOTE: Returning students need not answer this question.
Do you authorize the payment of a minor prior balance on your account from funds to be received for the current semester?
Yes
No
NOTE: Returning students need not answer this question.
Do you understand that any change on your enrollment schedule and/or financial aid status, or your failure to attend classes to the satisfaction of your professors can have a direct effect upon your student loans?
Yes
No
NOTE: Returning students need not answer this question.
If there is a credit on your account after your current semester charges are covered, what would you like us to do with these excess funds?
Send credit balance back to Loan Provider.
Send credit balance back to me.
I authorize MBU to apply my credit balance towards school related charges incurred in future semesters: tuition, bookstore waiver charges, service fees (which may include parking fees, ID fee, assessment/technology fees, activity fees or other additional fees), lab fees, parking fines, housing and living expenses (not inclusive of all eligible fees).