Financial Aid

PLUS Loan Denial Form 2023-2024

Parent Appealing the PLUS Loan*

First NameLast Name

Student Name*

First NameLast Name

Student ID Number*

My parent(s) are on a fixed income (SSI, Disability, etc.) Send evidence of receipt of public assistance or disability benefits.My parent(s) have been through bankruptcy in the past 7 years. Send court documentation showing bankruptcy conditions prohibiting further debt.My parent(s) are incarcerated. Send official documentation of incarceration.My parent(s) income is not high enough to make borrowing a loan advisable.My parent(s) have monthly debt in amounts that make adding an additional loan payment unadvisable. Complete the fields below.

For every item listed, please forward supporting documentation (paystub, debt statement, receipt, bank statement) to the Office of Financial Aid:

Fax: 620-229-6245
Email: finaid@sckans.edu
Mail: Office of Financial Aid, 100 College St, Winfield KS 67156

Take Home Monthly Household Income

Include wages, social security, military pay, pension/retirement, interest earnings, alimony/child support, rental income, unemployment, food stamps, business income, etc.

Take Home Monthly Household Income*

Monthly Expenses

Include regular, recurring payments for debts owed to an organization or business.

Do NOT include utilities or insurance payments.

Monthly Expenses*

Rows	Amount
Mortgage/Rent
Minimum monthly credit card payments (total for all cards)
Car/Vehicle loan payment
Medical/Dental debt payments
Student loans payments (for parent borrower)

Additional Expenses

Parent Signature*

Date*

Date