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Federal Stafford Loan Request Form

Selected Lender: William D. Ford Direct Loan Program

If you decide that you need a Stafford Loan, you must complete a Stafford Loan Request form. Complete this form to activate your Federal Stafford Loan Request. Prior to completing this Loan Request Form, you must have completed a Free Application for Federal Student Aid (FASFA) and received an Award Letter. Please refer to your Award Letter to determine your loan amounts.

Please complete the information below.

 * First Name:  * Required
 * Last Name:


* Phone Number  
 ** Social Security Number:   (Last 4 Digits Only)
 ** YU ID (not SSN):  
 * Loan Type:  Helpful tips and information
 * Loan Amount Requested:  
 * Loan Period:





 * Academic Year



 * Email Address:  


** You are required to supply us with your yu ID and/or your Last 4 Digits of your Social Security No.