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Fillable Printable 2015-16 Undergraduate Student Loan Request Form

Fillable Printable 2015-16 Undergraduate Student Loan Request Form

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 loanstowards 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 exceedthe standard budget, and you can provide documentation, you may be eligible
for a budget increase. Complete page 2 of this form.
Iwould 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 WILLBE 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 COSTELIGIBILITY / 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 SHPplan 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
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