Financial Aid

PLUS Certification Statement

______

Student NameStudent ID#

This form is only required when a family has not completed the Free Application for Federal Student Aid (FAFSA)yet the parent wishes to apply for a Federal Parent PLUS loan.

Student Eligibility and Certification

Dependency Status

Were you born before January 1, 1986? / □Yes / □No
Are you a veteran of the U.S. Armed Forces, or are you currently serving on active duty in the U.S. Armed Forces for purposes other than training? ? / □Yes / □No
As of today, are you married? / □Yes / □No
Do you have children who receive more than half of their support from you? / □Yes / □No
Do you have other dependents who live with you and who receive more than half of their support from you now and through June 30, 2009? / □Yes / □No
Are both of your parents deceased or are you (or were you until age 18) a ward of the court? / □Yes / □No
When you were age 13 or older, were both of your parents deceased, were you in foster care or were you a dependent/ward of the court? / □Yes / □No
As of today are you an emancipated minor as determined by a court in your state of legal residence? / □Yes / □No
As of today are you in legal guardianship as determined by a court in your state of legal residence? / □Yes / □No
At any time after July 1, 2008 did your high school, school district homeless liaison, or director of an emergency shelter funded by HUD determine that you were an unaccompanied youth who was homeless? / □Yes / □No
At any time after July 1, 2008 did the director of a runaway or homeless youth center or transitional living program determine that you were an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless? / □Yes / □No

U.S.Citizenship Status(select one)

141 Le Mans Hall  Notre Dame, IN  46556 Financial Aid Office tel: (574)284-4557  fax: (574) 284-4818

□U.S. Citizen or National□ Permanent Resident

□Other eligible non-resident (Alien Registration # ______)□None of the above

141 Le Mans Hall  Notre Dame, IN  46556 Financial Aid Office tel: (574)284-4557  fax: (574) 284-4818

□I certify that I will use any Federal Title IVfunds I receive during the award year covered by this application only for expenses related to my attendance at Saint Mary's College.

□I certify that I do not owe a refund on any federal grant or loan, am not in default on any federal loan or have made satisfactory arrangements to repay any defaulted loans, and have not borrowed in excess of the loanlimits under the Title IV programs at any institution

Student Signature ______Date ______

Parent Eligibility and Certification

U.S. Citizenship Status (select one)

141 Le Mans Hall  Notre Dame, IN  46556 Financial Aid Office tel: (574)284-4557  fax: (574) 284-4818

□U.S. Citizen or National□ Permanent Resident

□Other eligible non-resident (Alien Registration # ______)□None of the above

□I certify that I will use any Federal Title IVfunds I receive during the award year covered by this application only for expenses related to my daughter’s attendance at Saint Mary's College.

□I certify that I do not owe a refund on any federal grant or loan, am not in default on any federal loan or have made satisfactory arrangements to repay any defaulted loans.

Parent Signature ______Date ______

OFFICE USE ONLY

SAP status:□satisfactory □probation □terminated

NSLDS student review:□no default or overpayment □default or overpayment exists

NSLDS parent review:□no default or overpayment □default or overpayment exists

141 Le Mans Hall  Notre Dame, IN  46556 Financial Aid Office tel: (574)284-4557  fax: (574) 284-4818