Office of Financial Aid ▪ 100 East 8
th
Street ▪ PO Box 9000 ▪ Holland, MI 49422-9000
P: 616-395-7765 ▪ F: 616-395-7160 ▪ finaid@hope.edu ▪ hope.edu/finaid
New Student: ______ Current Student: ______
This form allows parent(s) to provide information regarding extenuating financial circumstances related to COVID-19. Grant
eligibility is limited to one year. Please complete the sections below for the parent(s) that are listed on the 2020-21 FAFSA
application.
Please
include a letter from employer regarding changed wages or work hours, proof of unemployment or
other supporting document with this form.
Par
ent First Name: ____________________________ Parent Last Name: _______________________________
____ My empl
oyment has not changed
____ My e
mployment has changed as of ____/_____/_____.
____ My f
inancial circumstances have been impacted in a way that is not described above. Please explain:
_________________
________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
My estimated earnings for calendar year 2020 are $______________.
My estimated unemployment benefit for calendar year 2020 is $_______________.
Parent First Name: ____________________________ Parent Last Name: _______________________________
____ My e
mployment has not changed
____ My e
mployment has changed as of ____/_____/_____.
____ My f
inancial circumstances have been impacted in a way that is not described above. Please explain:
_________________
________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
My e
stimated earnings for calendar year 2020 are $______________.
My e
stimated unemployment benefit for calendar year 2020 is $_______________.
Grant eligibility is limited to one year. If your family experiences continued financial hardship into the academic year,
please contact the Office of Financial Aid to discuss additional options.
Please initial and date below to certify that all of the information reported on this form is complete to the best of your
knowledge.
Initials: _______________________ Date: _____________________
COVID-19 Financial Assistance
Application
COVID