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					                                          Student Loan Packet
                                          (2010-2011)


                                                               Phone 510-748-2391
Student Services / Financial Aid Office      555 Ralph Appezzato Memorial Parkway
                                                                Alameda CA 94501
                                                         http://alameda.peralta.edu
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                   Federal Student Direct Loan Request Form


Last Name: ________________________ First Name: __________________________________
Student ID#_______________________ Last 4 digits of SS# ____________________________
Date of Birth: _____________________
Driver's License #_____________________________State: _____________
Telephone Number: ________________________email address: __________________________
Permanent address: ______________________________________________________________
City: ___________________________ Zip Code: ____________________




                              2010/2011 Academic Year


                     Fall 2010

                     Spring 2011
Grade Level:
1rst. Year (0-30 units) ______________
2nd. Year (30.5 - 60 units) ___________
Other: _________________
Have you received a baccalaureate degree (BA or BS) from another institution? _______________
Subsidized Amount Requested: ____________________________________________________
Unsubsidized Amount Requested: __________________________________________________
Major at College of Alameda: ______________________________________________________
Expected Graduation date from College of Alameda: ___________________________________




                     Federal Direct Student Loan - Annual Limits


  Dependent              Base          Additional                         Maximum Fall        Maximum
   Students        Subsidized (or     Unsubsidized        Maximum         Disbursement          Spring
                   Unsubsidized                            Total                             Disbursement
                     if needed)
First Year        $3,500             $2,000            $5,500             $2,750            $2,750
Second Year       $4,500             $2,000            $6,500             $3,250            $3,250


 Independent             Base          Additional                         Maximum Fall        Maximum
   Students        Subsidized (or     Unsubsidized        Maximum         Disbursement          Spring
                   Unsubsidized                            Total                             Disbursement
                     if needed)
First Year        $3,500             $6,000            $9,500             $4,750            $4,750
Second Year       $4,500             $6,000            $10,500            $5,250            $5,250




Statement of Understanding:

I have read, understood, and will adhere to the above information. I understand that the completion of
the steps above does not automatically guarantee my eligibility for a student loan. I understand this
form is not a loan application and the school is not the guarantor or the lender. I understand that if my
address or any other information is incorrect or is incomplete, my loan cannot be processed. By
completing the signature below, I agree that the information provided above is accurate.

By signing this worksheet, I certify that all the information reported on it is complete and correct.



Student Signature: _______________________________________________________________



Date: _________________________________

				
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