COVID EMERGENCY FUND REQUEST
In response to the COVID-19 crisis, SUNY Upstate converted most classes to online learning during the Spring, Summer and Fall 2020 semesters as well as canceled in-person clinical experiences.  The Federal Coronavirus Aid, Relief, and Economic Security (CARES) Act authorizes colleges to award emergency grants to students for expenses related to the disruption of campus operations due to the coronavirus, such as food, housing, course materials, technology, health care, and child-care expenses. This form allows students to request a Federal CARES, Emergency Grant.  

Complete the request below if you, the student, have incurred expenses that are related to the disruption of campus operations due to coronavirus.   For an incurred expense to be eligible, it must be related to the disruption of campus operations.  Eligible expenses include food, housing, course materials, technology and computer, health care, dependent care, transportation, and other.   Please note, this fund is ONLY for COVID Related expenses and can NOT be used towards tuition or existing outstanding bills.

STUDENT INSTRUCTIONS
1. Check each category that you have incurred that is related to the disruption of campus operations due to coronavirus.  
2. In the written section, for each expense, write a brief description, describe how it is related to the disruption of campus operations due to coronavirus, and specify the amount.  
 
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Email *
Untitled Title
First Name *
Last Name *
Cell Phone *
Upstate ID Number *
Program Of Study *
Program Level
Expected Graduation Year *
Funding Request
Please note that SUNY Upstate's grant is limited but every request will be carefully considered by the Emergency Fund Committee.  Priority will be given to high need students with limited available resources.  Funding constraints may limit the number and the size of the awards.  
*
Yes
No
I am Title IV Eligible
I have a FASFA on file for 1920 or 2021 Aid year
Considerations *
Yes
No
Are you Currently Employed?
Was your graduation date directly impacted by the COVID shutdown?
Reason for Emergency Request - please mark as many as applicable for your request *
Required
Total Amount Requested *
Please explain in as much detail as possible your need for these emergency funds and how it is related to the COVID-19 shutdown. *
STUDENT CERTIFICATION AND ATTESTATION
A copy of your responses will be emailed to the address you provided.
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