Fillable CCM C.A.R.E.S Student Emergency Grant Application (County College of Morris)

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CCM C.A.R.E.S Student Emergency Grant Application (County College of Morris)

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The CCM C.A.R.E.S Student Emergency Grant Application (County College of Morris) form is 1 page long and contains:

  • 1 signature
  • 8 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for County College of Morris

BROWSE COUNTY COLLEGE OF MORRIS FORMS

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CCM C.A.R.E.S
Student Emergency Grant Application
SECTION A:
STUDENT INFORMATION
First Name:
Last Name:
CCM Student ID: O
Current mailing address if different than your CCM records:
Street:
City:
State:
ZIP Code:
Preferred Phone Number:
SECTION B:
STUDENT AUTHORIZATION OF CARES GRANT DISTRUBUTION
What is your preference, if awarded?
(Select one of the below) -
Option 1.
I
Authorize
County College of Morris to apply my CARES grant to my current outstanding account balance or
Option 2.
I
DO NOT authorize
County College of Morris to apply my CARES grant to my current outstanding account balance,
and mail me my CARES grant check.
Note: Authorization to apply CARES to your CCM outstanding balance; if awarded amount exceeds your due balance, the difference
will be USPS mailed to you.
SECTION C:
COVID-19 EMERGENCY GRANT HARDSHIP
Indicate the Hardship Assistance Requesting (check below) -
Utilities
Employment
Technology/Supplies
Rent/Housing
Tuition and Fees
Other
* Requested Amount: $
_______________
Please briefly explain below how COVID-19 has caused you financial hardship. Supporting documentation required*.
CERTIFICATION SECTION
By entering my full name and or signature or Initials below, I agree that it is an electronic representation of my signature whenever I use it.
I also understand that recipients of electronic documents I sign will be able to see my information contained within. I further understanding that all information is to
be used for the processing of this application and for County College of Morris reporting purposes only. I additionally acknowledge and agree that the
information and approval above given is true and complete to the best of my knowledge.
FULL NAME HERE:
My Initials:
Student Signature: Date:
Email to:
CCMCARES@ccm.edu
Reminder: Remember to submit your hardship supporting documented proof with this application (example: proof of unemployment, equipment purchased or need to purchase
due to campus closing for remote access and learning etc. as a result of the current COVID-19 pandemic.
FINANCIAL AID OFFICE USE ONLY
Term:
Award.ID:
FCARE
(Category: ( U / R / M / C /F /S / E / O )
Supporting Document received: Yes [ ] No [ ]
Total Award:
DENIED: (Reason for denial required)
FA Advisor Name: Signature
Date:
FAA. January, 25,2021
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CCM C.A.R.E.S Student Emergency Grant Application (County College of Morris)

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Completed 3 February 2021

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