Coronavirus Aid, Relief and Economic Security (CARES) Act Application
Titans, we are here to serve and support you! We understand that this is a challenging time for many
and we are here to help. If you are in need of additional funding due to COVID-19 related reasons,
please complete this application for consideration for funding. Please not e that due
to the overwhelming requests that may be received, you may not receive the funding amount
you are requesting. The Office of Financial Aid continues to be available to provide financial aid
information, in-depth counseling, and additional aid options and FAFSA/CDAA adjustments if possible. You
may contact the Office of Financial Aid via phone at 657-278-3125, our new "Financial Aid
Questions" site http://www.fullerton.edu/financialaid/ and via email: financialaid@fullerton.edu.
CWID:
Date:
Name:
Date of Birth:
Email Address:
Please select from the
categories below
to
indicate how you
will use
the
funding you
are
requesting.
Also, check the
box next
to
the
dollar
amount you
are
requesting for the specific items.
Category Funding Amount
Food:
Course Materials:
$250 (standard allowance)
$250 (standard allowance)
Technology: $250 $500
Health Care: $250 $500
Child Care:
$250 $500
Other (please list below):
______________________
Amount (please list below):
______________________
I certify that the information provided on this application is true and I am requesting these funds due to
COVID-19 related issues.
_________________
Date
Undergraduate Graduate
Please indicate your
enrollment units for
the academic year:
Spring 2020:
Summer 2020:
Fall 2020:
In 200 Words or less please describe in detail your financial hardship:
Signature
Rent:
$500 $1000 $2000
click to sign
signature
click to edit
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