Loan Adjustment Request Form

Please complete this form if your enrollment plans have changed from what you reported on the Request for Student Loans Form.

Name Name First Last
Student ID
Please select the option that applies to you.

Please select the option that applies to you. My enrollment plans have changed from what I originally reported on the Request for Student Loans form. I wish to reduce the amount of loan funding I am currently receiving.
Please confirm the reduction you wish to make (i.e., receive loan funding for tuition and fees only, receive a lesser refund amount, etc.).
School

School Bienen School of Music The Graduate School McCormick School of Engineering School of Communication School of Education & Policy
Summer Enrollment (units)
Must be a number less than or equal to 5.
Fall Enrollment (units)
Must be a number less than or equal to 5.
Winter Enrollment (units)
Must be a number less than or equal to 5.
Spring Enrollment (units)
Must be a number less than or equal to 5.
Summer Enrollment (units)
Must be a number less than or equal to 5.
Draw or type your signature into the box below.

Draw or Type

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Full Name

I understand this is a legal representation of my signature.