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COVID-19 Emergency Assistance Request Form

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The COVID-19 Emergency Assistance fund helps currently enrolled students with extraordinary one-time costs that have arisen as a result of the COVID-19 pandemic. At this time the maximum amount of emergency assistance that will be provided from this grant is $800.
Eligibility Requirements Per Federal Regulations:

1.) Have completed FAFSA for 2020-2021

I understand that by checking this box I have submitted a FAFSA for 2019-20. I acknowledge that if I check this box and have not submitted a FAFSA, I am not eligible to receive CARES Act Funds. If you need to submit a FAFSA, visit https://studentaid.gov/h/apply-for-aid/fafsa before submitting this form to ensure your eligibility for CARES Act Funds.
Name

Funds Requested

Basic Needs
Education-Related Expenses
Other Expenses

Explanation of Funds Requested

Was your housing affected due to the COVID-19 pandemic?
By checking the box below, I certify that to the best of my knowledge the information I provided in this form is true and complete without evasion or misrepresentation.