Barton Online Forms

Plus Loan Authorization

* required fields
Parent Information

SSN:

**Social Security Number is required in order to obtain a Plus Loan. However, SSN is not required for this form in order to protect your privacy. If you choose to not enter your SSN on this form and prefer to give your SSN number to a Financial Aid Officer, please contact BCCC Financial Aid Office (620) 792-9270 or 1-800-748-7594.

Name:*	Date of Birth (M/D/YYYY):*
Address:*	City:*
State:*	Zip:*
Phone:*	Loan Amount Requested:*

Email Address:

(Barton may only certify the student's COA less any estimated financial assistance.)

Check the lender you want to use for your Federal Stafford Loan *

	Lender	Lender Code	Will the lender sell my loan(s)?	Who will service my loan(s)?	Are there any special features?
k	Kansas State Bank (800) 350-4498 www.kansasstatebank.com	821176	Yes	Sallie Mae	0% origination fees 1% interest rate reduction after 36 consecutive on time payments .25% rate reduction for auto debit payments
u	US Bank (800) 377-5626 www.usbank.com	804609	Yes	Student Loan Finance Corporation	0% origination fees 0% guarantee/default fee 5% credit after 36 consecutive, on time payments .25% rate reduction for auto debit payments
c	Commerce Bank (800) 666-3910 www.commercebank.com	813979	Yes	Mohela	0% origination fee 0% guarantee/default fee 2% interest rate reduction for auto debit payments
t	The College Board (800) 272-5543 www.collegeboard.com	830310	Yes	Sallie Mae	0% origination fees 0% guarantee/default fee 1% interest rate reduction with ACH Not fo profit
b	Bank of America (800) 344-8382 www.bankofamerica.com	806746	Yes	Sallie Mae	0% origination fees 0% guarantee/default fee 3% interest rate reduction after 36 consecutive, on time payments .25% rate reduction for auto debit payments
l	College Loan Corporation (888) 972-0852 www.collegeloan.com	833733	No	ACS	1.5% origination fee 0% guarantee/default fee 7% credit after 48 consecutive, on time payments .25% rate reduction for auto debit payments
d	Department of Education http:www.ed.gov/offices /OSFAP/DirectLoan/index .html		No	Dept. of Education	2.5% origination fee 1% guarantee/default fee .25% interest rate reduction for auto debit payments
	Other - Please Provide Lender Name & Lender Code if you want to use a lender not listed.

Interest rates for July 1, 2007 - June 30, 2008:

Federal Family Educational Parent Plus Loan	8.50%
Direct Parent Plus Loan	7.90%

Student Information:

Name:*

Social Security Number:

**Your student's Social Security Number is required in order to obtain a Plus Loan. However, SSN is not required for this form in order to protect your child's privacy. If you choose not to enter your student's SSN on this form and prefer to give your student's SSN number to a Financial Aid Officer, please contact BCCC Financial Aid Office (620) 792-9270 or 1-800-748-7594.

Disbursement Authorization (Choose one): *

a	I give Barton County Community College authorization to apply the PLUS loan funds to the student's account and release any refunds directly to the student. I realize that at a later date I have the right to rescind this authorization and to have the funds paid directly to me.
b	I give Barton County Community College authorization to apply the PLUS loan funds to the student's account and want any refunds released directly to the parent applying for the loan. I realize that at a later date I have the right to rescind this authorization and to have all the funds paid directly to me.
c	I want all PLUS loan funds sent directly to me, the borrower.

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Barton

I give permission to Barton County Community College to do a credit check to determine my credit worthiness.

I certify that to the best of my knowledge the information on this form is true and complete without evasion or misrepresentation. I understand that if found to be otherwise, it is sufficient cause for rejection.*

By checking this box you have created an electronic signature as legally binding as your handwritten signature.