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It explains that Title IV federal, state, or school aid may be available instead of or in addition to a private education loan, and warns that borrowing more than the reported difference may reduce eligibility for lower-cost aid. The form also defines key terms such as cost of attendance, estimated financial assistance, and private education loans.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/private-education-loan-applicant-self-certification/430061/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/private-education-loan-applicant-self-certification/430061.png","ImageObject",300,407,{"name":92,"@type":93},"Jacob","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the self-certification form for a private education loan?","Question",{"text":112,"@type":113},"It documents the applicant’s self-certification that required notices were read and that the information provided is true and correct, which a lender must obtain before disbursing a private education loan.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How can Title IV aid relate to a private education loan?",{"text":117,"@type":113},"Free or lower-cost Title IV federal, state, or school student financial aid may be available in place of or in addition to a private education loan, and applicants are encouraged to pursue those options with the school’s financial aid office.",{"name":119,"@type":110,"acceptedAnswer":120},"What should be entered for cost of attendance and estimated financial assistance?",{"text":121,"@type":113},"Applicants must enter the student’s cost of attendance (A), estimated financial assistance (B), and the difference between A and B (C), and they are warned not to borrow more than the amount on line C.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},430061,1790811403,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},962084931830,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Private Education Loan Applicant Self-Certification  \nThis space for lender use only  \nOMB No. 1845-0101 Form Approved Exp. Date 8/31/2025  \nImportant: Pursuant to Section 155 of the Higher Education Act of 1965, as amended, (HEA) and to satisfy the requirements of Section 128(e)(3) of the Truth in Lending Act, a lender must obtain a self-certification signed by the applicant before disbursing a private education loan. The school is required on request to provide this form or the required information only for students admitted or enrolled at the school. Throughout this Applicant Self-Certification,“you” and “your” refer to the applicant who is applying for the loan. The applicant and the student may be the same person.  \nInstructions: Before signing, carefully read the entire form, including the definitions and other information on the following page. Submit the signed form to your lender.  \nSECTION 1: NOTICES TO APPLICANT  \n• Free or lower-cost Title IV federal, state, or school student financial aid may be available in place of, or in addition to, a private education loan. To apply for Title IV federal grants, loans and work-study, submit a Free Application for Federal Student Aid (FAFSA) [available at](available at www.fafsa.gov)[ ](available at www.fafsa.gov)[www.fafsa.gov](available at www.fafsa.gov), or by calling 1-800-4-FED-AID, or from the school’s financial aid office.  \n• A private education loan may reduce eligibility for free or lower-cost federal, state, or school student financial aid.  \n• You are STRONGLY encouraged to pursue the availability of free or lower-cost financial aid with the school’s financial aid office.  \n• The financial information required to complete this form can be obtained from the school’s financial aid office. If the lender has provided this information, you should contact your school’s financial aid office to verify this information and to discuss your financing options.  \nSECTION 2: COST OF ATTENDANCE AND ESTIMATED FINANCIAL ASSISTANCE  \nIf information is not already entered below, obtain the needed information from the school’s financial aid office and enter it on the appropriate line. Sign and date where indicated. See Section 5 for definitions of financial aid terms.  \nA. Student’s cost of attendance for the period of enrollment covered by the loan $    \nB. Estimated financial assistance for the period of enrollment covered by the loan $    \nC. Difference between amounts A and B $   WARNING: If you borrow more than the amount on line C, you risk reducing your eligibility  \nfor free or lower-cost federal, state, or school financial aid.  \nSECTION 3: APPLICANT INFORMATION  \nEnter or correct the information below.  \nFull Name and Address of School   Applicant Name (last, first, MI   Date of Birth (mm/dd/yyyy)   Permanent Street Address    \nCity, State, Zip Code    \nArea Code / Telephone Number Home   Other   E-mail Address    \nPeriod of Enrollment Covered by the Loan (mm/dd/yyyy) From   to    \nIf the student is NOT the applicant, provide the student’s name and date of birth.  \nStudent Name (last, first, MI)   Student Date of Birth (mm/dd/yyyy)    \nSECTION 4: APPLICANT SIGNATURE  \nI certify that I have read and understood the notices in Section 1 and, that to the best of my knowledge, the information provided on this form is true and correct. Signature of Applicant   Date (mm/dd/yyyy)    \nSECTION 5: DEFINITIONS  \nCost of attendance is an estimate of tuition and fees, room and board, transportation, and other costs for the period of enrollment covered by the loan, as determined by the school. A student’s cost of attendance may be obtained from the school’s financial aid office.  \nEstimated financial assistance is all federal, state, institutional (school), private, and other sources of assistance used in determining eligibility for most Title IV student financial aid, including amounts of financial assistance used to replace the expected family contribution. The student’s estimated financi","cbCainzFKDPfPDcJ","https://ap.wps.com/l/cbCainzFKDPfPDcJ","pdf",190857,"English","# Section 1: Notices to Applicant\n## Section 2: Cost of Attendance and Estimated Financial Assistance\n## Section 3: Applicant Information\n## Section 4: Applicant Signature\n## Section 5: Definitions","[{\"question\":\"What is the purpose of the self-certification form for a private education loan?\",\"answer\":\"It documents the applicant’s self-certification that required notices were read and that the information provided is true and correct, which a lender must obtain before disbursing a private education loan.\"},{\"question\":\"How can Title IV aid relate to a private education loan?\",\"answer\":\"Free or lower-cost Title IV federal, state, or school student financial aid may be available in place of or in addition to a private education loan, and applicants are encouraged to pursue those options with the school’s financial aid office.\"},{\"question\":\"What should be entered for cost of attendance and estimated financial assistance?\",\"answer\":\"Applicants must enter the student’s cost of attendance (A), estimated financial assistance (B), and the difference between A and B (C), and they are warned not to borrow more than the amount on line C.\"}]","Private Education Loan Applicant Self-Certification | PDF",1790651787]