Federal Stafford Loan Certification Request
To apply for a Stafford Loan, please complete the sections below. Your loan request will be processed by the college and you
will receive an email notification with your next steps. Once you receive the email, you will go to TG Loans By Web to
complete your loan application and sign your application with your lender. Instructions are available at the Financial Aid
Office on how to complete the online portions.
There are two types of Federal Stafford Loans. The government pays the interest on a Subsidized Federal Stafford Loan while
you are in school. Interest on an Unsubsidized Federal Stafford Loan will accrue while you are in school and is the
responsibility of the student/borrower. Lone Star College System will always certify subsidized loans before considering a
request for unsubsidized funds.
Dependent Students Independent Students
Maximum Federal Stafford Maximum Federal Stafford
Academic Year (Subsidized and Unsubsidized) Subsidized + Unsubsidized
Year 1 (0-29 hours) $3,500 $3,500 $4,000
Year 2 (30+ hours) $4,500 $4,500 $4,000
Last Name First Name Social Security Number
Total Amount Requested: $____________
I wish to receive my loan funds by:
❑ Chase E-Funds Debit Card offered at no cost by Lone Star College System (Complete the section below)
❑ Paper check mailed to my home address on file with the admissions office
I have read and understand the Federal Stafford Loan Terms and Conditions. I also understand that a loan is different from a
grant and must be repaid. By signing below, I certify that these funds will be used for educational purposes and in accordance
with the rules and regulations set forth by the Department of Education.
Student Signature Date
Direct Card Authorization for Federal Stafford Loans and Refunds
The Lone Star College System Chase E-Funds Card is a pre-funded Visa Debit Card, which the College System has implemented for you to
receive award disbursements in excess of tuition, fees, and other allowable charges. Because the Chase E-Funds Card is a stored value card,
you won’t be denied – there is no credit check or approval process and no minimum balance like a checking account.
I hereby authorize my school to deposit any payments it is responsible for administering to me, including, but not limited to, financial aid refunds, scholarships
and grants, to my Chase E-Funds Card. If funds or monies to which I am not entitled are deposited to the Chase E-Funds Card either by error or subsequent
determination of ineligibility. I hereby authorize my school to initiate a correcting entry to my Chase E-Funds Card to withdraw funds to correct the error or
I hereby authorize my School to act as my agent to submit my application to JP Morgan Chase Bank, the issuer of the Chase E-Funds Card, and to send and
receive communications on my behalf to and from JP Morgan Chase Bank regarding my Chase E-Funds Card. By using the Chase E-Funds Card, I agree to the
terms and conditions governing my use of the Chase E-Funds Card that I will receive at the time I receive the Chase E-Funds Card.
I acknowledge and agree that this authorization may be rejected or discontinued by JP Morgan Chase Bank at any time. I understand that this authorization
replaces any previous authorization relating to my School payments to me, and unless terminated by JP Morgan Chase Bank, this authorization will remain in
full force and effect until my School has received written notification from me of its termination in such time as to afford my School a reasonable opportunity
to act, or I have terminated the Chase E-Funds Card as provided in the terms and conditions I receive with the Chase E-Funds Card.
The USA Patriot Act requires JP Morgan Chase Bank to obtain, verify and record information that identifies each person or business that opens a new account.
By completing or otherwise providing this application and/or the information on it, the Cardholder agrees to provide and consents to JP Morgan Chase Bank
obtaining if necessary from third parties, Cardholder’s name, residential address, date of birth and Social Security number to verify Cardholder’s identity.
Student Signature Date 0FC08LOA
The Lone Star College System is committed to the principle of equal opportunity in education and employment. LSCS does not discriminate against individuals on the basis of race, color, gender, religion, disability, age, veteran status, nationality or
ethnicity in the administration of its educational policies, admissions policies, employment policies, scholarship and loan programs, and other district or college administered programs and activities.