GSA Emergency Grant
This grant is for graduate students only. UCSB undergraduates are NOT eligible, please do not complete this form!

In order to apply for a GSA Emergency Relief Grant, you will need to fill out the form below. Following your submission, the GSA Emergency Relief Grant Committee will review your application and inform you of a decision as soon as possible. Please note that, in most cases, the committee will contact you to request supporting documentation before a decision is made.

This committee may include staff from Student Life, Student Health, Counseling and Psychological Services, Graduate Division, Office of International Students and Scholars, Office of Financial Aid and Scholarships, as well as graduate student representatives. If you have concerns about sharing personally sensitive information with graduate student members of this committee or any questions about the process, please contact committee member and Graduate Academic Counselor, Ryan Sims, with your concerns at rksims@ucsb.edu.

Please complete all the sections below. We are unable to process incomplete applications.

UPDATE: Any Emergency Grant application received after 12/13/23 will be reviewed in Jan. 2024

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Email *
Please type in your Name *
Help us understand the nature of your emergency. You can check more than one box. *
Required
What is your home department? (e.g. Sociology, EEMB, Physics, etc.) *
What is your Perm. number? *
What is the best telephone number for you? *
Mailing Address *
Are you a currently enrolled graduate student? *
Are you a domestic or international graduate student? This information helps the committee guide you to other resources. *
Personal Statement. Enter or paste-in a statement. 500 or fewer words, please.  Describe the nature of your emergency and what you have done to address the situation so far. Also, explain how you foresee resolving the situation. If you feel uncomfortable about sharing sensitive information here, please indicate that. A professional staff member from the committee will contact you to discuss your situation. *
Grant Amount Requested. Please note that the maximum grant amount is $1,000 per quarter, not to exceed two quarters total during the student's time at UCSB *
Income: Describe what sources of income you have or will have, including jobs, financial aid, family support, gifts, etc. Why are these funds insufficient to cover the current emergency expense? *
Savings/Investment: Do you have any savings or investments? If so, please describe and include dollar amount or valuation. Can you help us understand why these cannot be used to cover this emergency? *
Dependents Supported: If you support dependents, how many?
Other Sources: What other support options have you pursued (either on or off campus; can include loans, family loans, food banks, CalFresh, etc.)? *
Have you filled out the FAFSA for the current academic year? By submitting this application, you are acknowledging that you have completed a FAFSA application for the current academic year.  *
Loan Eligibility: Do you have loan eligibility through the office of Financial Aid & Scholarships?  NOTE for Students who are eligible for STUDENT LOANS: To be eligible for the GSA Emergency Grant funds, you must have accepted any loans offered through the Office of Financial Aid and Scholarships (OFAS). *
Additional Support: Would you be interested in a referral to other campus services, as appropriate? *
Time Frame: Given your current situation and options, how soon do you feel you need to receive an Emergency Relief Grant? *
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