Samuel Curtis Johnson Graduate School of Management BUDGET ...

Samuel Curtis Johnson Graduate School of Management

BUDGET INCREASE APPLICATION

Applications submitted without required documentation will be denied.

Some expenses may not be eligible for federal loans. Our office reserves the right to exercise professional judgment to deny requests that are not considered direct educational expenses. Please allow 2 weeks to process.

Name _______________________________ CU Student ID_______________ Net ID_________

Last

First

TYPE OF COST

BOOKS & SUPPLIES

Budget: Amount that exceeds $550/Semester allowance

COST $

ELIGIBILITY / DOCUMENTATION REQUIREMENTS You must demonstrate that total books/supplies cost exceeds allowance. ? Receipts for all books and supplies required for each course

HOUSING/UTILITIES

Budget 10 months -

$

$1,120 per month

MEDICAL EXPENSES

(not covered by insurance)

$

Student Dental and Vision Plan

$

You must demonstrate that your total housing cost exceeds $11,120. ? Copy of complete lease (including signatures, all addendums, etc.) ? Copies of utility bills specifying your portion (if claiming this expense)

? Doctor/provider of services bill and Explanation of Benefits from Insurance

? Receipts/invoices for medication, optical or dental expenses Note: Must note amounts covered by insurance.

? Copies of payment receipts are required.

Note: aid will be rescinded if the insurance charge is waived at a later date.

Computer Cost

(maximum one-time

$

request, up to $2,000)

? Invoice or documentation showing estimate of cost and; ? Receipt from purchase of computer within two weeks of approval

Dependent Care

(not to exceed $1,000 per month allowance)

Other education related costs not included in the published COA

Special circumstances should first be discussed with the financial aid office.

$

$ ____________ $ ____________ $ ____________ $ ____________

? Documentation required from childcare/pre-school provider.

Please itemize and document expenses (may attach separate sheets). _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________

Complete and upload this form along with the Federal loan application, or indicate which private alternative student loan you have applied for ____________________________.

If your request is approved, you will receive a revised financial aid award email. If you have any questions, please email our office at financialaid@johnson.cornell.edu.

I certify that the expenses listed here are true and accurate and I understand that I must notify the Financial Aid Office at Johnson if my expenses decrease or were otherwise reimbursed.

__________________________________________________

_________________

STUDENT SIGNATURE

NETID

DATE

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