Self-Certification Instructions

Effective February 14, 2010, lenders of private education loans are required to collect a completed and signed Self-Certification Form prior to disbursing loan proceeds.

Students should always follow instructions provided to them by their lender.  The information below will help when completing the Self-Certification Form.

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SECTION 1: NOTICES TO APPLICANT

No information to report.

SECTION 2: COST OF ATTENDANCE AND ESTIMATED FINANCIAL ASSISTANCE

A. Cost of Attendance

The standard cost of attendance for most students in the 2012-13 academic year is $51,130.  This includes the cost of tuition, fees, room, board, books, personal expenses and travel. 

B. Estimated Financial Assistance 

This is the total Financial Aid that you have been awarded as shown on the most current financial aid award letter or merit scholarship notification. 

C. Difference

Subtract "B" from "A" to obtain the maximum amount eligible to be certified with a private loan.

SECTION 3: APPLICANT INFORMATION

Full Name & Address of School

DePauw University 
PO Box 37 
Greencastle, Indiana 46135

Applicant Name, Date of Birth and Contact Information

The name, birth date and permanent contact information of the primary borrower/applicant (not necessarily the student).

Period of Enrollment

For most students this should be the entire academic year. 
Dates for the 2012-13 academic year are 8/22/2012 - 5/16/2013.
Refer to the Office of the Registrar for additional academic calendars.

Student Name

Leave blank if the student is the applicant.

SECTION 4: APPLICANT SIGNATURE

Signature and date of the applicant.