Home / Financial Aid & Cost / Financial Aid & Cost | Federal Direct Loan Request Form Winter 2019 Federal Direct Loan Request Form Winter 2019 Personal InformationName * Required First Middle Last Former NameAddress * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneAlternate PhoneSocial Security # * RequiredDate of Birth - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Degree or Certificate Program at JC * RequiredEstimated JC Completion Date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Enrollment PlansWinter 2019 Semester Dates: Jan. 2019 - May 2019Attending (Min of 6 credit hours required)No Loan RequestedHave you received Federal Direct Loan funds from another college or university (other than JC) during the current 2018-2019 academic year? * RequiredYesNoOther Educational ResourcesSelect all you anticipate receiving during Winter 2019. Michigan Rehabilitation Services Michigan Works/TRA/TAA HRDI/No Worker Left Behind Employee Tuition Assistance Other Assistance Michigan Rehabilitation Services AmountMichigan Works/TRA/TAA AmountHRDI/No Worker Left BehindEmployee Tuition Assistance AmountOther Assistance AmountCertificationALL BOXES MUST BE CHECKED. IF YOU HAVE QUESTIONS, PLEASE CONTACT THE JC FINANCIAL AID OFFICE BEFORE SUBMITTING THIS FORM. BY CLICKING SUBMIT BELOW, I AGREE THAT THE INFORMATION I HAVE PROVIDED ON THIS FEDERAL DIRECT LOAN REQUEST FORM IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE. * Required I understand that I am requesting a loan which must be repaid. * Required I understand it is my responsibility to verify that my name and address are correct with the JC Records Office. * Required I understand that submitting a loan request does not guarantee loan processing. I understand that all required documentation must be on file before loan consideration can begin. * Required I understand that I must be enrolled in at least 6 credit hours and if I am not enrolled at least half time (6 credit hours), any future disbursements of my loan will be cancelled. * Required I understand that the other financial aid I am receiving (including Work Study) could affect the amount of loan funding I receive. * Required I understand that if I am a first time borrower at JC, I must complete Entrance Counseling (Step 1). * Required I understand that if I am a first time borrower at JC, I must complete a new Federal Direct Loan Master Promissory Note. (Step 2). * Required I understand that if I have a loan for one semester only, my loan will be received in two separate disbursements. * Required I understand that if I am transferring to JC and requesting loan funds, I may be required to submit an unofficial copy of my previous academic transcripts to the JC Financial Aid Office.