Financial Planning
Budget Adjustment Request – Books & Supplies
Student budgets are designed to provide an accurate projection of reasonable costs and to enable the
Office of Financial Planning to formulate an appropriate aid package. Students may request to increase
their cost of attendance/student budget for the one-time purchase of required diagnostic equipment at a
predetermined point of enrollment. Students may not receive a budget adjustment increase for the cost of
diagnostic equipment more than once.
The maximum amount of the budget adjustment will be set annually by the Office of Financial Planning.
Students must provide a completed copy of this request form to the Office of Financial Planning on
campus and fulfill any additional requirements prior to loan origination and/or disbursement.
Student Name: ____________________________________
Matric Number: _______________
Student Email: ____________________________________
Phone Number: _______________
Select the funding mechanism and amount for this Cost of Attendance / Budget Adjustment
increase:
Federal Direct Unsubsidized Loan
$ _______________
Federal Direct Grad PLUS Loan
$ _______________
Private / Alternative Loan
$ _______________
By signing below, you agree to the following:
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•
•
•
I understand providing false or misleading information constitutes fraud and will be reported to
the Office of Adjudication under the Student Code of Ethics.
I give the Office of Financial Planning permission to verify any and all information provided.
I acknowledge and understand the terms and conditions of the loan options presented to me.
I understand if I do not meet or complete the requirements of the selected loan(s), Palmer College
of Chiropractic will not originate/disburse the additional loan(s) until the deficiency has been
remediated.
Student Signature
Date
Office of Financial Planning Use Only
(Yes/No) Grad PLUS Application Required
(Yes/No) Grad PLUS MPN Required
(Yes/No) Grad PLUS Instructions Provided