University of the Cumberlands

UNIVERSITY OF THE CUMBERLANDS
Graduate Stafford Loan Request Form


Last Name	First Name	Middle Initial


Student ID Number	Date of Birth


Permanent Street Address	Email Address


City	State	Zip	Telephone Number
Program Attending: (Choose ONE)	MAED/MAT Online MAED/MAT Onsite MBA		Doctor of Education Reading Specialist

Expected Completion Date for Program:
	Month/Year

Term	Cost of Tuition Obtained from Bursar	Estimated Cost of Books (if needed)
Fall 2008	$	$
Spring 2009	$	$

* Students may borrow more than the direct cost of tuition and estimated book expenses for educationally related expenses only. If you need additional funds, please list the educationally related expense and the amount needed for each item below.

Term	Type of Educational Expense	Dollar Amount Requested for Each Item
		$
		$
		$
		$
		$

Combined Total Request:

NOTE: An official award letter from UC will be mailed to you indicating the loan approval. You are required to sign and return the form to our office showing acceptance of the loan before the loan will be processed. Additionally, if you are a new borrower at University of the Cumberlands, you will be required to complete an Entrance Interview and sign a new Master Promissory Note (MPN) at www.kheaa.com after your loan request has been approved.

UNIVERSITY OF THE CUMBERLANDS Graduate Stafford Loan Request Form

Combined Total Request:

UNIVERSITY OF THE CUMBERLANDS
Graduate Stafford Loan Request Form