Perkins Loans: Exit Interview Confirmation

If you see this don't fill out this input box.

*Last Name

*First Name

*LSU ID

*Email

Home Phone

Cell Phone

Billing Address

City and State

Zip Code

I authorize that all information provided on this form, including any and all personal contact data may be shared with the LSU Office of Accounting Services and LSU's third party collection partners to facilitate the loan maintenance and collection process. This data will be securely retained indefinitely. To learn more about privacy at LSU, please see the LSU Privacy Statement.

*Data Consent

I Authorize