Exit Counseling

Student Contact Information
You are required to provide your current contact information to your loan servicer. If you complete the Department's exit counseling online at StudentLoans.gov, your contact information will automatically be provided to your loan servicer. If you did not (and will not) complete exit counseling online, you may use this form to provide the information to your school. You are also required to notify your loan servicer of any changes to your contact information after you leave school. You can use this form for that as well. You must complete all items except those marked as optional.
Personal Information
Name*

First NameLast Name
Your Permanent Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email Address*
example@example.com
Area Code/Telephone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Driver's License or State ID number (optional)
Issuing State (optional)
Employer Information (optional, if known)
Expected Employer (After Leaving School)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Area Code/Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Important: You must provide your loan servicer with the above contact information as well as information on your next of kin and two personal references (see next section), and you must keep the information current.
Enter next of kin with a U.S. address different from yours, who will know your whereabouts for at least three years.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
References: You must list two persons with U.S. addresses different from each other and from yours, who will know your whereabouts for at least 3 years.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
I have received exit counseling materials for Direct Loan borrowers. I have read and I understand my rights and responsibilities as a borrower. I understand that I have a loan from the federal government that must be repaid.
Student's Signature*

Clear
Date of Student Signature*

MonthDayYear
Date
Student's Name*

Financial Aid Exit Interview

Borrower Information:
Name*

First NameLast Name
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number*
Email*
example@example.com
Contact Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
Drivers License Number and State*
Expected Graduation Date*
School Name: College for Technical Education

School Phone: 859-272-5225
Average Cumulative Indebtedness of Borrowers in the Same Program:
YesNo
Repayment Options:

Standard Repayment - Graduated Repayment - Income-Sensitive Repayment - Extended Repayment

Located in the Exit Counseling Guide for Direct Loan Borrowers, with the addendum, is an estimated repayment option chart indicating average anticipated monthly payments. Terms describing deferments, forbearance and loan consolidation are outlined. Review these terms & repayment options with your school official. If you have trouble with repayment in the future, call the Direct Loan Servicing Center at 1-800-848-0979.

Review with your school official the Funding Education Beyong High School, The Guide to Federal Student Aid, Student Loan Section, to understand the serious consequences of default. You will find helpful guidelines on how to cerate a good credit history and how to improve your credit score. Information is included on the Master Promissory Note, capitalization and types of loans available.
Yes
Questions -- on my rights and responsibilities as a borrower for the terms & conditions of my loan should be referred to:

School Official: Financial Aid Director/Officer Phone #: 859-272-5225

Lender Name: refer to www.nslds.ed.gov

Guarantor: refer to www.nslds.ed.gov
Employer Information (If Applicable, to be completed by the student)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Information (Parent or Next of Kin Required)*

First NameLast Name
Address (All 3 individuals must have different addresses)*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship*
Reference 2 Information (All 3 individuals must have different addresses)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship*
Reference 3 Information (All 3 individuals must have different addresses)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship*

Student Contact Information

Personal Information

Employer Information (optional, if known)

Enter next of kin with a U.S. address different from yours, who will know your whereabouts for at least three years.

References: You must list two persons with U.S. addresses different from each other and from yours, who will know your whereabouts for at least 3 years.

Financial Aid Exit Interview

Checklist