Fillable Printable 2015-16 Undergraduate Student Loan Request Form

2015-16 Undergraduate Student Loan Request Form

Name: Cornell ID Number: Net ID:

This form will allow you to request student loans towards your educational expenses. It is important to follow the

steps below in order, so that we can award the best loan source available to you based on your eligibility. We will

contact you if additional documentation is needed.

I would like to request a student loan for the following reasons (check all that apply):

Step 1. I would like to request a loan to cover my expected student contribution

(Please note that we will only award a loan to cover your standard expected student contribution)

Step 2. My educational expenses exceed the Cornell budgeted amount (on back)

Step 3. I would like to request the maximum Federal Direct Loan

Total requested amount towards Student Contribution:

If you find that your actual costs exceed the standard budget, and you can provide documentation, you may be eligible

for a budget increase. Complete page 2 of this form.

I would like the maximum amount of Federal Direct Loan (listed below) based on my eligibility, including

the additional $2,000 Federal Direct Unsubsidized Loan. I understand that this may result in future loan

requests (including budget increase requests) to be denied based on my loan eligibility.

• First year: $3,500 max subsidized + $2,000 unsubsidized

•

Second year: $4,500 max subsidized + $2,000 unsubsidized

•

Third+ years: $5,500 max subsidized + $2,000 unsubsidized

•

Federally independent undergraduates may be eligible for an additional unsubsidized loan amount

I permit Cornell University to release loan disbursement information to me electronically through email. I understand that if I

wish to decline or reduce the loan(s) awarded to me, I will be responsible for contacting the Office of Financial Aid and Student

Employment with a written request. Please note that in order to receive a Federal or Cornell University Loan for the first time,

the Electronic Master Promissory Note must be signed online and the online Entrance Counseling Interview must be completed.

I understand that as a Title IV recipient, this aid will be credited to my account to cover all educational expenses. Such expenses

may include, but are not limited to, tuition, fees, room and board, and items such as extra course fees and the student health plan.

If I elect to have federal aid credits limited to tuition, fees, and room and board, I will notify the Office of Financial Aid and

Student Employment, in writing, to this effect.

STUDENT SIGNATURE __________________________________________________ DATE _________________

* Please note that all H/EOP students must receive approval from the NY State Opportunity Program Office.

2015-16 UNDERGRADUATE STUDENT LOAN REQUEST FORM

Please allow at least 2 weeks for processing

Standard SCs for 2015-2016: First Year: 2,700 – Sophomore: $3,250 – Junior: $3,450 – Senior: $3,650

Step 3: Additional Federal Direct Loan

Step 2: Budget Increase Request (on back)

Step 1: Loan request to cover expected Student Contribution (SC)

Step 4: Student Signature

Submit this form:

Online at www.finaid.cornell.edu

Fax: 607-255-6329

2015-16 BUDGET INCREASE APPLICATION

APPLICATIONS SUBMITTED WITHOUT REQUIRED DOCUMENTATION WILL BE DENIED.

We create a budget based on an estimate of what it will cost you to attend Cornell for one year. Current cost of attendance figures

can be found on our website. If you find that your actual costs exceed what we estimated and can provide documentation, you may be

eligible for a budget increase. These increases are typically awarded in loan or employment.

Budget increases are limited to 2 per semester, with a minimum of $50 for each budget increase request.

Our office reserves the right to exercise professional judgment to deny requests that are not considered direct educational expenses. If

your request is approved, you will receive a revised financial aid award notification via email.

The following items are NOT eligible because we consider them to be non-essential expenses, so they are either part of your

personal/miscellaneous budget or are extra expenses:

•

Laundry money

•

Dining admin fee (included in

budget above)

•

Higher-cost meal plan

•

City Bucks, Big Red Bucks

• Housing security deposits

•

Summer housing

•

Commencement housing

• Fraternity/Sorority expenses

•

Cable/satellite TV expenses

•

Cell phone expenses

• Data usage and Net-print fees

•

CU Identification Card

replacement

• Parking fines and vehicle-

related expenses

•

Library fines

•

Athletic sports equipment and

related expenses

• Travel expenses

•

Kaplan or Princeton Review courses

•

Graduate school applications (low

income students can apply for fee

waivers)

•

Job interview costs (travel, clothing,

etc.)

TYPE OF COST COST ELIGIBILITY / DOCUMENTATION REQUIREMENTS

BOOKS & SUPPLIES

CU Budget $445/Semester

$725/Semester for AAP

students

Amount exceeding

allowance:

You must demonstrate that your total books/supplies cost exceeds allowance.

Required documents:

• Invoices or receipts for all books and supplies required for each course.

HOUSING/UTILITIES

CU Budget $8,112 for 9

months

Amount exceeding

8,112 allowance:

You must demonstrate that your total housing cost for 9 months exceeds $8,112.

Required documents:

•

Copy of lease or copies of canceled rent checks.

•

Copies of utility bills specifying your portion (if claiming this expense).

MEDICAL EXPENSES

(not covered by insurance)

• Bill from the doctor and/or provider of services and documentation from

insurance company of what will be covered by insurance.

•

Receipts or bills for medication, optical, or dental expenses; the bill must

indicate amount not covered by insurance.

•

If the charge is on your bursar bill, please check here:

CORNELL STUDENT

HEALTH Plan

$2,560 - premium

$350 - fee

We will start processing Student Health Plan budget increases after the 8/16

waiver deadline. Note that aid awarded for the SHP plan will be rescinded if

the plan charge is waived at a later date.

COMPUTER

(maximum request $2,000,

one time in undergrad

years)

One time only in loan for one device (i.e. computer, tablet, netbook); warranty

and necessary software can be included. Funds are disbursed to your bursar

account, and any outstanding charges are paid before a refund can be issued.

Required documents:

• Invoice or documentation showing estimate of cost OR

• Receipt showing amount paid

OTHER

(i.e. CFC membership fees,

physical education class

fees, etc.)

Special circumstances

should be discussed with a

counselor.

$ ____________

Increases will only be approved for required or wellness-related expenses.

Please provide itemization and documentation of expenses.

__________________________________________________

Check one of the following aid options:

Loan Employment Eligibility Other (explain)

Updated: 7/14/2015