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Emergency Relief Fund Appeals
Emergency Relief Fund Appeals
Emergency Relief Fund Appeals
Student Name (legal name)
*
First
Last
Empower Student ID
*
Watkins email address
*
Phone number (include area code)
*
Are you currently enrolled (Spring 2020)?
*
Yes
No
Are you experiencing a financial need related to COVID-19 pandemic? If so, please check item(s) below:
Laptop
Food
Utilities
Internet
Housing/Shelter
Personal Expenses
Course materials and/or textbooks
Transportation
Dependent Child care
Please provide a brief explanation of your circumstances below.
Please check this Box of Acknowledgement
*
I acknowledge that the information provided is true and correct and is/was caused by the COVID-19 pandemic. I understand that I may or may not receive funding due to limited availability of funding and/or ineligibility due to items that do not fit the criteria for educational cost of attendance.
Date
*
Date Format: MM slash DD slash YYYY
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