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Student Application for Emergency Grant

Student Application for Emergency Grant

Student Application for Emergency Grant – Hurricane Florence Disaster Recovery Fund

Date*
MM slash DD slash YYYY
Name*
First Last
WCC ID#*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email*
Describe the details of the financial need related to the impact of Hurricane Florence. Explain how these funds will allow you to remain enrolled in school this semester. You must be specific.*
How much funding are your requesting?*
Maximum grant award cannot exceed $1250 per semester.
What will the funds be used for? You must provide proof of any damage caused by the hurricane along with receipts, copies of filed insurance claims, contracts, inspection reports, etc.*
I understand that by receiving this grant that I must use my best efforts and take all reasonable steps to obtain alternative funds to cover the losses or needs for which the grant is provided, including funds from insurance policies in effect, any available federal aid such as FEMA, and any other sources of aid that may be available.*

Your Initials
I understand that if I obtain funds from another source to cover the losses or needs for which the grant is provided, I must return the amount of the grant that was covered by the funds from another source to (College).*

Your Initials
I agree that the information I have provided is true and accurate to the best of my knowledge. I understand that I may be required to repay these funds if additional resources become available and or if it is discovered fraudulent information is used.
Student Signature*

Type your full name.

kwjones -

Student Application for Emergency Grant

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