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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.
*
Yes, I agree with this statement.
Name
*
First
Last
8000#
*
Funds Requested
Basic Needs
Food
Housing and moving expenses (rent, storage, etc.)
Amount:
Education-Related Expenses
Technology for online classes
Transportation (unexpected travel costs, etc).
Childcare
Amount:
Other Expenses
Healthcare and medical expenses
Other (please list in text-box below)
Description of Other Expenses:
Amount:
Explanation of Funds Requested
Was your housing affected due to the COVID-19 pandemic?
*
Yes
No
If yes, please explain:
Do you plan to return to UMW? Please select one of the choices below.
*
I plan to return for the Summer 2020 semester.
I plan to return for the Fall 2020 semester.
I plan to return for the Spring 2021 semester.
I don't plan to return to UMW at this time.
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.
*
Yes, I agree with this statement.
Comment
Submit