Student Loan Request Form

Section I: Student Information
Name:  
Unique ID:  
Duke Email Address:  
Phone Number:    
Mailing Address:  
 
 
     
Section II: Enrollment Information
Degree Sought  
Expected enrollment:
 Half-time
Full-time
Aid Year:  
Section III: Loan Options
Check the type(s) of loan(s)
you are requesting:		 Stafford
Perkins
PLUS
Private
Check the term(s) for which you are
interested in the requested loan(s):		 Fall            Summer
Spring
Section IV: Submission
Please note: submission of this form does not guarantee that you will be
eligible for an educational loan.  Once your financial aid counselor receives
your request, your financial aid eligibility will be determined and you will be
contacted via email.  Questions about your financial aid package should be
directed to your school’s financial aid office.