Returning Borrower Please review the Application and Education Finance Planner carefully prior to beginning completion to ensure you have all of the required information as, once you have started, you will not be able to save information entered to complete the form at a later time. Your Name: Your Email: Date of Birth: Permanent Home Address: Phone No: What Iowa community college, college or university will you attend during this application period? In the upcoming academic year, I will be a:FreshmanSophomoreJuniorSenior What is your anticipated degree to be earned? What is your expected graduation date? Do you expect this to be your final request for funds? YesNo LOAN REQUEST:(Complete the Education Finance Planner before completing this section.) For what academic periods do you want financial assistance? (Check all boxes that apply and state the amount you will need for that term.) Summer Term * $ *Date Summer funds needed Fall Term Semester $ Spring Term Semester $ Total (This should agree with the total for the year TOTAL $ on the Education Finance Planner) $ When will classes resume for you? Another employed adult must sign your educational loan notes with you. Who will co-sign your loan notes? Name of proposed co-signer: Relationship: Address: Phone: Email: Employment: Applicant Signature, please type your name here to electronically sign the application: PROVIDE YOUR CURRENT TRANSCRIPT BY: MAIL (PO BOX 776, MARSHALLTOWN IA 50158) OR EMAIL (MELANIE@HTLAWIA.COM) If your GPA is less than 2.0 call the office of the secretary before filing this application. (641) 752-4507 NOTE: THE DEADLINE FOR FILING APPLICATIONS IS ON OR BEFORE MAY 31 OF THE UPCOMING ACADEMIC YEAR FOR WHICH THE REQUEST IS BEING MADE. Education Finance Planner Estimated Expenses vs. Estimated Amounts Available for the Year Estimated Expenses: 1. Tuition and registration fees 2. Books and supplies 3. Room and board 4. Miscellaneous living expenses (clothing, entertainment, etc.) 5. Transportation (travel) 6. Other 7. Total estimated expenses Estimated Amounts Available: 8. Money parents will contribute 9. Money student will contribute 10. Scholarships ( do not enter unless already awarded or student has a high probability of winning one) 11. Pell Grant 12. Loans Perkins Loan Stafford Subsidized Stafford Unsubsidized Parent Plus 13. Work Study 14. Other sources (do not include The Frank Pierce Trust) 15. Total amounts available Shortage Please indicate what amount, subject to loan limits, you wish to request from The Frank Pierce Trust. Total for Year