Name _____________________________________ Western Illinois University
Financial Aid Office
Sherman Hall 127
1 University Circle
Macomb, IL 61455-1490
Phone: 309/298-2446
FAX: 309/298-2353
ID ________________________________________ 2015-16 Computer Purchase- Reqd (737)
Date: Financial Aid Advisor:
My department has certain computer requirements because I am enrolled in ___________________________________________
Course name & number
OR
___________________________________________.
Major/minor
I want to be considered for additional loan eligibility for the purchase of a computer. I have
attached a receipt, lay-away slip, or price quote dated between July 1, 2015 and June 30, 2016
which contains the following items:
o
o
o
o
o
my name
date of purchase/quote
name of the retailer
an itemized list of hardware and software
total cost of the computer
I understand the following:
o The budget increase will be based only on hardware and software required by my
department for a course or a major/minor.
o I may have to apply for a private alternative loan or my parents may have to apply for a
Parent PLUS loan.
o If eligible, loan funds will be applied to my university account.
o If I owe a balance on my university account, I may not receive a refund for computer
costs.
o I understand I will be contacted through my WIU e-mail account after review is complete. Student’s signature
Date