Financial Aid Loan Request Form

If you are interested in a Federal Direct Loan, the information below must be completed in its entirety. INCOMPLETE APPLICATIONS WILL BE RETURNED causing delays in processing. Even if you have had a student loan at EMCC in previous semesters you must still complete this application. You can visit studentaid.gov for information on the federal student loan program. If you have any question please contact Lion Central at any of the above numbers or email us at finaid@eastms.edu.

I. Your information

First name *

Last name *

Email address(not EMCC Email) *

Date of birth * 🛈 +

Social Security Number *

Student ID Number? *

Street address *

City *

State *

Zip code *

Phone number *

Cell Phone number *

Anticipated Graduation Date *

Borrowers Rights and Responsibilities: Loans must be repaid whether you complete your educational program or withdraw. The amount you pay back depends on the amount you borrow. If you drop below 6 hours, graduate, or no longer attend EMCC your first payment will likely be due in 6 months. If you fail to repay the loan you will go into default. Defaulting on federal student loans will affect your ability to get other credit for credit cards, car loans, a mortgage, and other large purchases for up to 7 seven years. Defaulting means you cannot receive further federal assistance to attend college until the defaulted loan is resolved. You must notify your loan servicer in writing of a name, address or telephone number change. If for some reason you cannot make the required monthly payments on your student loan you should immediately contact your loan servicer to see if you meet the eligibility requirements to cease or suspend payments. You can visit the National Student Loan Data System to view loan information (i.e. amounts, loan servicer, etc.) for loans you currently have by going to www.nslds.ed.gov.

II. Loan information

If you have not already done so you must complete the Entrance Interview process and Master Promissory Note (MPN) at StudentLoans.gov website. Log in using your FSA User ID and password and click on the appropriate links to complete the interview and the promissory note processes. Your student loan will not be disbursed until the Department of Education notifies the school that both processes have been completed. If you have already done both processes while enrolled at EMCC you do not need to do them again. Maximum student loan amounts are $5,500 for dependent freshmen, $6,500 for Dependent sophomores, $9,500 for independent freshmen, and $10,500 for independent sophomores.

If this is your last semester at EMCC, you must complete an Exit Interview process at StudentLoans.gov. Under the “Tools and Resources” menu at the top of the screen, click “Exit Counseling”.

Disbursement Information: Loan disbursements are scheduled to begin during the 8th week of each semester for fall and spring. If you have a one semester only loan two disbursements are scheduled, with the first disbursement during the 8th week in the term and the second disbursement during the 11th week in the term. For a loan period of summer only, two disbursements are scheduled with the first during the 4th week in the term and the second about the 6^th - 7^th week in the term.

Half-time enrollment (at least 6 semester hours) is required to be eligible for a student loan.

Loans are to be used for EDUCATION RELATED expenses only.

The requested loan amount and what you actually are awarded will depend on your cost of attendance and certain other forms of financial aid that are or will be awarded.

Check the loan period preferred: If nothing is marked, we will award the loan for the fall and spring semesters. *

Award amounts have variable considerations based on COST OF ATTENDANCE and ANNUAL LOAN ELIGIBILITY. (See Entrance Loan Counseling at Studentaid.gov)

Loan amount value in Dollars. (**see note below) *

NOTE: ** If you request $2000 and indicate that the award is for 2 terms.(Fall and Spring) It will be split into (2) awards. $1000 for Fall and $1000 for Spring.

Please Sign Below *

clear

Date *

East Mississippi Community College is committed to assuring that the College and its programs are free from discrimination and harassment based upon race, color, ethnicity, sex, pregnancy, religion, national origin, disability, age, sexual orientation, gender identity, genetic information, status as a U.S. veteran, or any other status protected by state or federal law. The following offices have been designated to handle inquiries regarding the non-discrimination policies:

Office of the Director of Human Resources, 1512 Kemper Street, Scooba, Mississippi 39358, 662.476.5274

Office of the Dean of Students, Golden Triangle Campus, Disability Services Coordinator, 8731 South Frontage Road, Mayhew, Mississippi 39753, 662.243.1979

Office of the Dean of Students Scooba Campus, Title IX Coordinator, 1512 Kemper Street, Scooba, Mississippi, 39358, 662.476.5062

Golden Triangle Campus
PO Box 100
Mayhew MS 39753
662-243-1920

Scooba Campus
PO Box 158
Scooba MS 39358
662-476-5079