Barton County Community College - Select a Lender Form

Loan Acceptance
Select A Lender

* required fields
1. Student Information

Name:*	ID/SSN:*
Phone:*	Email:*
Anticipated Graduation Date:*	Driver's Lic. No.:*

Do you have dependent or elder care expenses?* Yes No
If yes, how many of your dependents are 5 yrs or younger?

Do you have documented education-related disability expenses?* Yes No

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

	Lender	Guarantor	Servicer	Incentives (Lender incentives are subject to change without notice.)
	The Same Lender I choose as a freshman at Barton
c	Department of Education (800)848-0984	Department of Education	Dept of Education	Department of Education Web site
u	Commerce Bank Lender Code: 813979 (800)666-3910	USA Funds	Oklahoma Student Loan Authority	Commerce Bank Web site
k	US Bank Lender Code: 804609 (800)242-1200	USA Funds	Student Loan Finance Corporation	US Bank Web site
l	Sallie Mae Ed Trust Lender Code: 802218 (888)272-5443	USA Funds	Sallie Mae	Sallie Mae Web site
d	Nel-Net Lender Code: 824573 (877)804-3603	USA Funds	Nel-Net	Nel-Net Web site
	Other - Please Provide Lender Name & Lender Code if you want to use a lender not listed.

3. Loan Acceptance and Signature: *

The maximum Federal Stafford Loan amount for which you are eligible may be found on your PAWS account. The amount of your loan or ratio between subsidized and unsubsidized may change if you receive additional aid, your COA (Cost of Attendance) changes, or if you do not attend for a full academic year.

I would like to borrow: ad	the amount offered
	less than the amount offered. (Your Financial Aid Officer will contact you.)

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.