Emergency Student Grant Application

Emergency Grant Application

Thank you for your interest in seeking an emergency grant. All funds for this grant program are made possible by the Trellis Company and will be used to support students with financial need. A student’s financial need will be determined by their expected family contribution (EFC) and/or Pell Grant eligibility. These funds are one-time only and are for a student’s unforeseen financial emergencies. In addition, students who are awarded funds must meet with the Director of Outreach Services to explore other campus and external resources that may provide additional support and/or assistance. Funds cannot be requested for school expenses to include tuition, fees, room, board, books, fines, etc. Funds will be not be given to students, but will be paid directly to third-parties/creditors within two-business days.

Date
First Name
Last Name
Married Status
Veteran Status
Address Line 1
Address Line 2
City
State
Zip
Address Line 1
Address Line 2
City
State
Zip
Country
Current enrollment status:
Are you currently employed?
Do you currently receive financial aid?
Are you a first generation college student (neither parent has a college degree)?
Are you a foster child, homeless or Ward of the State?
Address Line 1
Address Line 2
City
State
Zip
You must attach documentation to verify the emergency, i.e. a rent statement, mechanic's estimate, bill from a childcare provider, etc. Applications without supporting documentation will not be reviewed. Max. file size: 10 MB.
Max. file size: 10 MB.
By submitting this emergency grant request, I acknowledge and give consent for data to be shared with the Department of Education and Trellis Company, or their representatives, as part of Project Success. I understand that my information will not be sold for any purpose and will not be distributed to other parties. Examples of data shared include, but are not limited to: student name and ID, enrollment status, annual income, EFC, emergency request amount, name, etc.
By using this form you agree with the storage and handling of your data by this website.