Student Loan Increase Request

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Financial Aid, Scholarships and Student Employment

Social Security Number:                                                                                                  Student ID:

Last Name:                                                                                                    First Name:                                                                                    MI:

Date of Birth:                                                                      Driver’s License Number:                                                                                      State:

Permanent Street Address:

City:                                                                                                                                                 State:                            Zip:

Address While in School:
                                               If different from permanent

City:                                                                                                                                                 State:                            Zip:

Telephone:                                                                                     E-mail:

I request a Stafford Loan increase in the amount of: $                                                                                                , making my total loan amount requested
for the 2010-2011 academic year: $                                                                                   .

I will attend:                Fall 2010 semester and will be taking _________ credits

                              Spring 2011 semester and will be taking _________ credits

My estimated final semester in school will be:                                                Fall                  Spring                       Summer                     of 20

My signature below constitutes my request for a loan under the Federal Family Education Loan Program for attendance at
Truckee Meadows Community College. I agree that my loan funds will be deposited to my student account to pay school
charges and the remaining amount will be paid to me for school related expenses. I understand that if I change my
enrollment, or receive other funding that results in an over-award, my loan amount may be reduced to comply with federal
eligibility requirements and funds may be returned to the lender. Additionally, I understand that the loan will be disbursed
in two equal amounts within my period of enrollment.

                                                                                                                                                                                    /                 /
Signature                                                                                                                                                        Date


Received:                                                                                                         Processed:


Page 1 of 1; Student Loan Increase Request                                                                                                                                                                   Rev.: 8/4/2010
TMCC is an EEO/AA (equal opportunity/affirmative action) institution and does not discriminate on the basis of sex, age, race, color, religion, disability, national origin or sexual orientation in the programs or activities
which it operates.