JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Emergency Need-Based Financial Aid Fund Questionaire
The intent of this fund is to help students and families who have been impacted personally and financially by the recent COVID-19 pandemic and resulting economic situation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name
*
Your answer
Telephone Number
*
Your answer
Email address
*
Your answer
Student's name
*
Your answer
Please describe how your family has been impacted by the COVID-19 pandemic, personally and financially?
*
Your answer
If you own a business, have you applied for any of the available grant or loan programs?
*
Yes
No
Not applicable
If yes, have you been approved and/or have you received any benefits? Please provide details.
Your answer
Is your family eligible to receive the Federal Economic Stimulus Grant?
*
Yes
No
Unsure
Is someone in your household eligible for unemployment compensation?
*
Yes
No
Unsure
If yes, have you applied and are you receiving it?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
