SUMMER 2020 


Fall 2020 


Spring 2021 


Anticipated # of Credits 


Anticipated # of Credits 


Anticipated # of Credits 


Total Summer Loan Requested: 

$ .00


Total Fall/Spring Loan Requested: 

$ .00 


Lehman College 

Office of Financial Aid 


2/20 REQUEST FOR FEDERAL DIRECT LOAN 2020-2021 


Student’s Information: Please print neatly in blue or black ink 



1.Last Name:

First Name: 

M.I.:



2.SSN: XXX-XX-(last 4 digits only) EMPLID#: 3.Date of Birth:/ / 




4.Permanent Street Address:

 Apt#: City: State: Zip: 



Local Mailing Address (if different from permanent address): 

 Apt#: City: State: Zip: 



5.Phone #: () - 

6. Lehman E-Mail: 

(Note: All correspondence will be sent to your college email address. Please check regularly.) 








Loan Request: (MUST BE REGISTERED FOR A MINUMUM OF 6 CREDITS TOWARD DEGREE PER SEMESTER) 




Check One: 



___ 


If I am not eligible for the amount I have requested as a Subsidized Loan, I will accept all or part of my loan in 
Unsubsidized Loan funds. 




___ 


I wish to receive a Subsidized Loan only. 




___ 


I am a GRADUATE student requesting an Unsubsidized Loan 
(*Graduate Students are only eligible for Unsubsidized Loans*) 





____ 


Loan requests are processed for the Fall/Spring semesters except where enrollment is for one semester. 
Loan disbursements will be made in two equal payments for the loan period certified. 

____ 


____ 


____ 






I am graduating at the end of Summer 2020. 

Yes 

No 

I am graduating at the end of Fall 2020. 

Yes 

No 

I am graduating at the end of Spring 2021. 

Yes 

No 



____ 


I expect to receive funds/waivers from a source other than financial aid for one or more semester(s) during the academic year. Yes* No 

____ 


___ 


___ 




*If Yes, please list source(s), terms(s), and amount(s) expected:

Borrower’s Certification 






This request form is not a promissory note. I must complete Entrance Counseling and sign an electronic Master Promissory Note (EMPN) online at 
https://studentaid.gov/. I understand that my eligibility for Federal Direct Loans will be determined in accordance with Federal Law. Further, by 
signing this application for a student loan I certify that all information provided is true to the best of my knowledge, and that the proceeds of this loan 
will be used for educational expenses incurred during my period of enrollment at Lehman College. 



Applicant’s Signature:Date: 




ISIR Corrections needed? Y or N New transaction # Doc’s collected? Y or N 

Intake Counselor’s Signature: Date: