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 ________________________________________ 2016-17 Computer Purchase- Required (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, 2016 and June 30, 2017 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