Student Emergency Fund Application

Name(Required)

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Student ID Number(Required)

Academic Term Requested:(Required)

Fall 2023

Spring 2024

Please provide a brief statement explaining why you are requesting Student Emergency Funds(Required)

Please list the expense(s) and amount(s) for which you are requesting assistance(Required)

Please provide a brief explanation of your financial circumstances, and describe your efforts to obtain funds through other sources(Required)

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