Apply for a Higher Education Emergency Relief Fund Grant

I am requesting the Higher Education Emergency Relief Fund Grant because I have been financially impacted due to COVID-19 as the result of one or more of the following: (check all that apply)

Job loss or reduction of income (including reduced hours at work for the household)Temporary furlough (you or a member of your household have not lost your job, but your position has been temporarily put on hold)Additional cost related to the transition to online learning

I am requesting the grant to cover the following expenses: (check all that apply)

HousingFoodUtilitiesChildcareMedical expenses (including additional support needed for accessibility purposes)Other

If you have an unpaid balance, would you like to apply your HEERF check to the Fall balance still owed to the university?

YesNo

Please explain your exceptional need due to COVID-19 in detail in the box below. Include approximate dollar amounts for each expense that you checked above. Your application will not be processed without this information.

By submitting this application, you are requesting a Higher Education Emergency Relief Fund Grant and acknowledging that the information provided is accurate. You also acknowledge that you may be asked to provide supporting documentation. If you opted to apply your HEERF check to your unpaid balance, you are hereby acknowledging that the money you are receiving from the HEERF Grant will be applied directly to your account and you will not receive a check. There is a limited amount of funding and not all applicants may be approved. Please submit the application to be considered for this funding. (Typing your name below serves as your electronic signature for this application.)