2009-2010 Student Loan Worksheet
You must complete both pages of this worksheet before your loan will be processed. Please print clearly.
Social Security Number ________________________ CBC Student ID Number ______________________
Last Name __________________________________ First Name __________________________________
E-mail Address ______________________________ Phone Number ______________________________
Please answer the following questions on BOTH PAGES and return this worksheet and the debt salary wizard to:
Columbia Basin College
Student Financial Services Office MS-H6
2600 North 20th Ave
Pasco, WA 99301
1. I will attend the following quarters (check all that apply):
Fall 2009 Winter 2010 Spring 2010 Summer 2010
2. I want the loan disbursed throughout the following quarters (maximum of 3 quarters):
Fall 2009 Winter 2010 Spring 2010 Summer 2010
Note: If you plan to attend summer quarter see the Student Financial Services Office when you register for summer.
3. I wish to be considered for the following types of loans:
Subsidized Stafford Loan Unsubsidized Stafford Loan
4. I need to borrow: $ ________________________________________ Refer to the chart under Borrowing Limits to
determine maximum eligibility. Remember that this is a loan that must be repaid, so borrow only what you need. Loan
funds are usually disbursed in more than one payment. If the loan period is for more than one quarter, equal
payments will be made each quarter. One quarter loans will be made in two separate disbursements.
Academic Grade Level/Loan Type Maximum Loan Amount
First-Year Undergraduates Dependent Independent Student
Student or Dependent Student Whose Parent is Ineligible
for PLUS
Base Stafford loan eligibility (subsidized and $3,500 $3,500
unsubsidized)
Additional unsubsidized Stafford loan eligibility $2,000 $6,000
Maximum First-Year Total $5,500 $9,500
Second-Year Undergraduates
Base Stafford loan eligibility (subsidized and $4,500 $4,500
unsubsidized)
Additional unsubsidized Stafford loan eligibility $2,000 $6,000
Maximum Second-Year Total $6,500 $10,500
*If you have been accepted into the Bachelors in Applied Science degree program contact the financial aid office
regarding borrowing limits.
5. My anticipated completion date at CBC is: _____________Quarter ____________Year
6. All students must complete an Entrance Counseling session annually. You should have completed this through the Mapping
Your Future Web site at http://mapping-your-future.org/ (see Entrance Counseling).
Yes, I am a first-time borrower (I have completed the Entrance Counseling session for CBC).
No, I am not a first-time borrower (I have completed the Entrance Counseling session for CBC).
For Office Use Only
Entrance Counseling Debt Wizard MPN Screen 1
7. Loan proceeds for all first-time borrowers and first-year undergraduate students will be available 30 days after the
beginning of your program.
This is my first quarter of college enrollment. This is my first Stafford Loan.
This is not my first quarter of college enrollment. I have already received a Stafford Loan.
8. Funds for Stafford Loans come from private lenders. Since this is a federal program, the terms and conditions are the
same, no matter which lender you choose. However, some lenders sell their student loans to servicing companies,
which means that your loan may not be serviced by the lender you select. Borrower benefits and customer service
will also vary from lender to lender.
The following lenders have demonstrated timeliness of disbursement, borrower benefits, and quality service.
Lenders provide different benefits, so you should investigate to learn what each lender can offer you. If the
lender you wish to use doesn’t appear on below, please contact the financial aid office at 509-542-5504, or
email financialaid@columbiabasin.edu.
Bank of America Nellie Mae
Lender Code: 824421 Lender Code: 829076 Wells Fargo
800-344-8382 800-272-5543 Lender Code: 807176
www.bofa.com www.salliemae.com 800-658-3567
www.wellsfargo.com
Chela Education Financing Wachovia (Wells Fargo can only be used
Lender Code: 833953 Lender Code: 830005 for existing 2007-2008 borrowers)
866-342-4352 800-338-2243
www.chelastudentloans.org www.wachovia.com
I will use the following lender: ____________________________________________________________
9. If you will receive funding from sources other than CBC, list sources and amounts. (Other sources would
include but are not limited to: WorkSource, WorkFirst, Work Retraining, DVR, L&I, Tribal funding or
Veterans benefits).
Source: __________________________________________ Amount: $ _______________________
Source: __________________________________________ Amount: $ _______________________
Source: __________________________________________ Amount: $ _______________________
Signature: _______________________________ Date: _____________
(Applications received without signatures cannot be processed.)
(OPTIONAL)
Please indicate why you chose this lender.
Previous loans with lender Already bank with lender Lender benefits Referred to lender
Order of lender list Other please specify _____________________________________________