Emergency Grant
To be considered for the Emergency Grant, complete the application below and submit
supporting documentation by email to iheart@csudh.edu. Completed applications will be
reviewed by a committee of faculty and staff beginning at the end of add/drop through the end
of the semester. Decisions will be made weekly until funds are exhausted. Students will be
notified of the committee’s decision via their Toro e-mail account. Decisions rendered by the
committee are final. Students may re-submit an application to appeal the decision with new
information and provide additional supporting documentation. Applications without
supporting documentation will not be considered. All inquiries about the status of your grant
application must be directed to the iheart email account.
Name ____________________________________ Student ID#________________________
Major ____________________________________ Minor _____________________________
# of units enrolled for the semester ____________ Anticipated Graduation Date ___________
I am a financial aid recipient and have exhausted all financial aid options, including student
loans.
I am requesting $________ to assist me with the following unexpected expense(s):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
The information I have provided above is true and accurate. I have attached documentation to
support my request and agree to maintain my attendance during the semester of my award and
make progress toward my degree.
________________________________________________ _________________________
Signature Date