“CARES Act”
COVID-19 Emergency Student Financial Aid Grant Application
An Equal Opportunity Educational Institution Serving the Community without regard
to Race, Creed, Sex, National Origin, or Disability
Student ID#: _____________
First Name: ___________________ Middle Initial: _____ Last Name: ______________________
Address: _____________________________________________________________
City: _______________________________ State: _______ Zip: _________________
Telephone: ______________________ Email: _________________________________________
Requested Amount: ____________________
I certify that I, ___________________________, have expenses that relate to the disruption of
campus operations due to COVID-19 and that I was not enrolled exclusively in online programs.
Student Signature: _______________________________________ Date: __________________
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COVID-19 Emergency Student Financial Aid Grant Application Student ID#: ________________
FOR COLLEGE USE ONLY:
Student is enrolled as a curriculum student of Carteret Community College or is currently enrolled
in a continuing education certificate program of Carteret Community College at the time of this
application:
Yes No
Full-time ¾ Time ½ Time Less than ½ Time
Student is Title IV eligible:
Yes No
Student was enrolled in a course(s) that had an instruction mode other than online prior to
College’s disruption due to COVID-19:
Yes No
Student has a financial need related to the College’s disruption from the COVID-19 pandemic:
Yes No
Funds Approved: ___________________
Approval Date: ___________________
Approval Semester: ___________________
Disapproval Date: ___________________
Reason for Disapproval:
Financial Aid Professional Signature: ___________________________________
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