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Beloit College
Financial Aid Office
700 College Street
Beloit, WI 53511 608-363-2663
2020-2021 Appeal for Financial Assistance and
Request for Reconsideration of Financial Aid
Beloit College understands that each student’s financial circumstances are different. Though the College strives to create a
comprehensive financial aid award package to make Beloit accessible, we recognize that there may be a need to reconsider the
assistance offered.
This form is designed to allow students to request financial assistance related to the disruption of campus operations due to
COVID-19 and/or to allow students the opportunity to request a re-evaluation of the original financial aid package based upon
circumstances they believe deserve consideration. If you are a U.S. citizen or eligible non-citizen, you must file a 2020-2021 Free
Application for Federal Student Aid (FAFSA) prior to our consideration of your request. If you are an international student, you
must complete a new International Student Financial Aid Application.
If you have any questions when completing this form, please contact us. Please note that submitting this form does not
automatically guarantee additional funding.
If you are not eligible to receive assistance due to the disruption of campus operations due to COVID-19 or a revision of your
financial aid package, you will be automatically considered for the Student Emergency Aid Program.
Student Name:__________________________________
Student ID or Last 4 digits of SSN: ___________________
Student Email: __________________________________
Parent Email: ___________________________________
Are you requesting assistance due to COVID-19?
CURRENT STUDENTS ONLY: Were you enrolled at Beloit College during the spring 2020 semester and did you
incur expenses related to the disruption of campus operations due to COVID-19 (including food, housing, course
materials, technology, health care or child care)? If yes, check yes below and include proof of expenses (copy of
your lease, copy of utility bills, proof of purchase/receipts, etc.) along with a personal narrative (see page 3)
explaining how you and your family have been impacted.
Yes, I was enrolled at Beloit College for the Spring 2020 semester and
incurred expenses related to the disruption of campus operations due to
Please continue to page 2 of this application. The following page will detail the circumstances in which we would
reconsider your financial aid eligibility as well as provide you with the information required to complete the
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Reason for Request for Reconsideration of Financial Aid
Please check all of the boxes that apply to your family’s situation and provide supporting documentation.
Change of Income, January December 2019 or January December 2020
(Example: Loss or change of employment status, death of parent, divorce/separation, etc.)
Is your loss of income temporary or permanent?
Have you applied for unemployment benefits?
Not eligible
Required Documentation:
Personal statement describing the anticipated or actual income change, including dates and reason(s) for the
significant changes. Please be specific. See page 3.
Most recent year-to-date pay stubs
Signed copy of prior year Federal Tax Return, including all Schedules and W-2(s)
Summary of any severance and/or unemployment benefits (if applicable)
Divorce decree or proof of separation (if applicable)
Any other documentation that demonstrates the change/loss of income
2018 or 2019 Health Care Expenses- $__________________
Include only the expenses allowed to be reported as “itemized deductions” (1040 Schedule A, Line 1)
Do not include any expenses that are or will be reimbursed by insurance, paid from a health savings account (HSA),
paid by your employer or billed in one year but paid in another
Required Documentation
Narrative outlining paid medical expenses. See page 3
Signed copy of 2018 or 2019 Federal Tax Return including Schedule A
Documentation of paid medical expenses
Other Unusual Expenses
Itemize, explain, and document other unusual expenses. These may include:
Home repairs due to natural disaster (fire, tornado, earthquake, etc.) damage not covered by insurance
Casualty or theft losses (not covered by insurance) claimed on your tax return
Regular and significant support of other family members under extenuating circumstances
Funeral expenses (family members)
Unusually high K-12 education expenses for siblings of the applicant between August 2020-June2021. Please
include a copy of the paid tuition statement
Other Unusual Circumstances
Itemize, explain, and document other unusual circumstances. These may include:
One-time IRA distributions or inheritances
Debt cancellation that appears as income on the Federal Income Tax Return
Reconsideration of Institutional Financial Aid based upon financial aid offers from comparable
colleges/universities (for prospective students only)
Include copies of financial aid award letters received from other institutions
Students MUST include a personal statement explaining how additional assistance would be beneficial in assisting
with your college decision
Please continue to page 3 of this application. The following page will provide you with a text box in which you may
write your personal narrative. Please be specific and provide as much detail as possible. Signatures from the student
and parent are required at the bottom of page 3.
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Personal Narrative (Required)
In your own words, please describe your family’s circumstances with as much detail as possible. If you
require more space, please feel free to attach an additional sheet.
Domestic students are required to submit a 2020-2021 Free Application for Federal Student Aid
(FAFSA) prior to submitting this request. International Students must submit a new International
Student Financial Aid Application prior to submitting this request. Please note that federal and/or
institutional loans may be offered as an option in response to your appeal.
Please allow 2-4 weeks for your appeal to be reviewed.
Please review and sign this form prior to submission. There must be both a student and parent signature on this
form if the student is considered a dependent for FAFSA purposes.
We certify that all information on this form is true and correct. Any estimated figures are based on the best information available
at this time and will be updated if they change after the submission of this form. Requests for additional grant funding may be
denied for students who have not made use of all of their financial aid options, including the utilization of work study and federal
and/or institutional loan eligibility.
Student Signature
Parent Signature (or spouse for independent students)
Please return this form and all supporting documentation to:
Beloit College Office of Financial Aid, 700 College Street, WI 53511
You may also securely upload the documents at or FAX to 833-694-0319
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