Complete this form to see if you are eligible to apply for a Direct PLUS Loan for your dependent.

Parent/Borrower Information
Last Name*

Parent Last Name
First Name*
Middle Initial
Social Security Number*
Date of Birth*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Consent to Obtain Credit Report*
I consent to the U.S. Department of Education and its agents obtaining a report of my credit record and using the information from that report in determining whether to make a Direct PLUS Loan to me. I understand that I will be notified in writing of the results of the credit check with respect to my loan application.
The Privacy Act of 1974 (5 U.S.C.552a) requires that the following notice be provided to you. The authority for collecting the information requested on this form is §451 et seq. of the Higher Education Act of 1965, as amended. Your disclosure of this information is voluntary. However, if you do not provide this information, you cannot be considered for a Direct PLUS Loan. The information on this form will be used to determine your eligibility for a Direct PLUS Loan. The information in your file may be disclosed to third parties as authorized under routine uses in the Privacy Act notices called “Title IV Program Files” (originally published on April 12, 1994, Federal Register, Vol. 59 p. 17351) and “National Student Loan Data System” (originally published on December 20, 1994, Federal Register, Vol. 59 p. 65532). Thus, this information may be disclosed to federal and state agencies, private parties such as relatives, present and former employers and creditors, and contractors of the Department of Education for purposes of administration of the student financial assistance program, for enforcement purposes, for litigation where such disclosure is compatible with the purposes for which the records were collected, for use by federal, state, local, or foreign agencies in connection with employment matters or the issuance of a license, grant, or other benefit, for use in any employee grievance or discipline proceeding in which the Federal Government is a party, for use in connection with audits or other investigations, for research purposes, for purposes of determining whether particular records are required to be disclosed under the Freedom of Information Act, and to a Member of Congress in response to an inquiry from the congressional office made at your written request. Because we request your social security number (SSN), we must inform you that we collect your SSN on a voluntary basis, but section 484(a)(4) of the HEA (20 U.S.C. 1091(a)(4)) provides that, in order to receive any grant, loan, or work assistance under Title IV of the HEA, a student must provide his or her SSN. Your SSN is used to verify your identity, and as an account number (identifier) throughout the life of your loan(s) so that data may be recorded accurate.
Signature of Borrower*
Signature of Borrower
Parent Identification*
Max. file size: 100 MB.
Student/Dependent Information
Student Last Name*
Student First Name*
Middle Initial
Student Phone Number*
Student Email
Email
This field is for validation purposes and should be left unchanged.

MTI Pompano Beach -Florida School License # 6403
Pompano Beach Citi Centre
1955 N. Federal Highway #207
Pompano Beach, FL 33062

MTI Pompano Beach -Florida School License # 4433
Pompano Beach Citi Centre
1901 N. Federal Highway #201
Pompano Beach, FL 33062
Florida School License # 6403

MTI Gainesville -Florida School License # 6525
Oakwood Commons Shopping
6250 NW 23rd St. Suite #14
Gainesville, FL 32653

MTI Gainesville -Florida School License # 2151
Oakwood Commons Shopping
6250 NW 23rd St. Suite #14
Gainesville, FL 32653

Not all programs are accredited and not all programs are offered at each location.

Phone:
954-972-0635
‍
‍Fax:
954-827-0101
‍
‍Email address:
[email protected] Phone:
954-972-0635
‍
‍Fax:
954-827-0101
‍
‍Email address:
[email protected]

Complete this form to see if you are eligible to apply for a Direct PLUS Loan for your dependent.

Parent/Borrower Information

Student/Dependent Information