Office of Student Financial Assistance Summer Request Form-2006 ...

Office of Student Financial Assistance
Summer Request Form-2006
Name
Permanent Address
City, State
Do you plan to attend the 2006 summer session Yes
If yes, indicate planned enrollment status
No
SS#
Phone#
Zip Code
1-3 Credit Hours 4-5 Credit Hours 6 Credit Hours or more
Did you attend another institution during Fall 2005 or Spring 2006 Yes No
If yes, please list any College, University, or Post-Secondary institution below:
School City & State Dates of Attendance
(Note: Students are not eligible to receive federal funds from two schools for the same period of enrollment.)
Where will you register
City Park Campus Charity School of Nursing West Bank Campus Northshore Campus
Would you like to apply for a student loan for Summer 2006
Yes, (Complete back of this form)
No
Would you like to apply for College Work-Study for Summer 2006
Yes, (Applications available in financial aid office)
No
Please keep in mind you might not be eligible to receive financial assistance during the summer if you did not
maintain satisfactory academic progress.
I certify that to the best of my knowledge, the information contained in this statement is correct and complete.
Signature:
***Deadline Dates***
Date:
Summer Request Form-June 23, 2006
Summer Loan Application-June 23, 2006
Financial Aid Appeal for Summer-June 16, 2006
City Park Campus Slidell Learning Center Westbank Campus Charity School of Nursing Covington Campus
615 City Park Avenue 320 Howze Beach Road 2600 General Meyer Ave. 450 S. Claiborne Ave. 317 N. Jefferson Ave.
New Orleans, LA 70119 Slidell, LA 70461 New Orleans, LA 70114 New Orleans, LA 70112 Covington, LA 70433
(504) 483-4134 (504) 568-4711 (504) 361-6448 (504) 568-6478 (504) 568-2167

a. Indicate the type(s) of loan(s) you would like to be considered for:
Federal Stafford Loan
If I am not eligible for the maximum in the Federal Subsidized Stafford Loan, please process a
Federal Unsubsidized Stafford Loan for me.
Unsubsidized Federal Stafford Loan
I am requesting that the lender add the interest, which accrues during the in-school and deferment periods
to my loan principal (capitalization).
I prefer to have the interest capitalized
I prefer to pay the interest
Federal regulations require that student loans awarded for one semester (summer only) be disbursed in two
installments. Loan disbursements will be credited to your account at the beginning of the semester and at the mid
point of the semester
b. Have you made a previous Federal Subsidized Stafford Loan and/or Unsubsidized Federal Stafford Loan at
Delgado
Yes, go to C
No, go to D
c. Do you wish to borrow from the same lender
Yes, go to E
No, complete remaining of form
d. Below is a partial list of lenders and their lender codes. If you are interested in a lender that is not listed, please
contact that lender and indicate the lender name and code in the space provided. If you do not choose a lender, we
will choose one for you. Once your application is approved, you will receive a school-certified master promissory
note in the mail at your permanent home address. YOU MUST SIGN AND FORWARD THE
MASTER PROMISSORY NOTE TO THE LENDER IMMEDIATELY.
Louisiana Education Loan Authority (LELA), 805113
Bank One (Formerly FNBC), 811925
Hibernia/Class Credit, 829030
Chase Manhattan, 807807
Whitney, 805148
Bank of New Orleans (Formerly GNO), 824192
Citibank, 826878
SunTrust (Crestar), 819873
Am South, 810612
Nellie Mae, 829076
Other:
! Educaid 830005
! Regions 800097
(Lender Code)
e. Some banks and guarantee agencies transfer money to Delgado Electronically rather than sending checks. Do we
have your permission to credit loan funds we receive electronically directly to your student account and give you
any balance that remains
Yes
No
Signature:
Date: