Emergency Fund Request Form
In order to support our members, LCCEA is making funds available for emergency faculty needs. LCCEA members may request up to $300 for an emergency need or due to hardship. This may include part-time faculty class cancellations or other one-time needs such as unanticipated medical expenses. (Depending on total need and available funding, LCCEA may increase individual amounts above $300. Awards to individuals may not exceed $599 in any one year.)  Funds are limited and our goal is to help as many faculty as possible.
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Email *
Name *
Department/ Discipline (optional but encouraged)
Are you an LCCEA member?  (LCCEA emergency funds are only available to LCCEA members.)
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If you are a part-time faculty member who experienced loss of assignment such as a class cancellation for Fall, have you applied for unemployment? Part-time faculty are encouraged to apply for benefits right away.
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Why are you requesting funds? (Please briefly describe the need for emergency / hardship funds.)
What is the amount you are requesting?
What is your mailing address?
By typing my name below, I acknowledge that I understand that this money I'm receiving is from the LCCEA and that it is a grant and that it does not require repayment.  I also understand that the LCCEA cannot provide tax advice.  Signed:
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