Student Laptop Purchase Agreement Form

If you are experiencing problem submitting this form, please email

Submission Deadline
Medical School 2019 1 July 2019
School of Health Professions Summer 2019 22 April 2019
School of Health Professions Fall 2019 1 July 2019

* Required

Orders are processed weekly and arrive within 7-14 business days. A University Store team member will contact you when your laptop is available for pick-up.

* I have authorized the University Store to order:

Note: Due to hardware supply, these specifications may be subject to minor changes based upon availability from our vendor.

Please select the method of payment(s) below:


For students utilizing financial aid, half of the total amount above will be charged to your UT Southwestern student account shortly before financial aid disburses for your first fall term in August. When financial aid disburses for that term, the first half of the laptop charges will be paid. The second half of the total above will be charged and paid similarly, shortly before the spring term in January.

For students utilizing their financial aid, charges will be posted to their UT Southwestern bills on the dates below. Funds will then be deducted from their financial aid disbursements for the appropriate terms:

  • May 1 (for Summer) or July 20 (for Fall), 0.00 (50% total + $25 handling fee)
  • December 15 (for Spring), 0.00 (last 50%)
  1. Please review the information you have provided above for accuracy before submission.
  2. Upon clicking on the "Submit Form" button below, your request will be emailed to the Office of Enrollment Services and the University Store for processing. You will be CC'ed if you have provided a valid email above.
  3. Questions regarding laptop purchase, please contact Sarah Moreno at 214-645-6215.
  4. Questions regarding Financial Aid, please email or call 214-648-3611.

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