ASRCC Stimulus Application
ASRCC recognizes their responsibility for offering quality programs and services to students. The goal of this award is to
financially assist students who have been affected by COVID-19. Applications will be reviewed and awarded by a Stimulus
committee based on demonstrated need. Applicants must have paid their Fall 2020 Student Services fees. If you have any
questions prior to completing this form please email us. After completing the application please email your application to
StudentActivities@rcc.edu. NOTE: Any award given will be reported to Student Financial Services and could potentially
affect your financial aid award. The deadline to apply is November 27, 2020 at 12 pm to studentactivities@rcc.edu.
1.
Full Name:
ID #:
2.
RCC Email
(Student must activate RCC Email)
PHONE:
4. Describe in detail how COVID-19 has financially affected you and/or your family as well as your education.
Student Signature: Date:
___
___
Below is for the Stimulus Review Committee to complete
_ GPA:Office Use Only *** Appointment Date: Units Attempted: Units Completed: _
_ Total Dollar Amount Awarded: $ _ Fees paid:
NOTES:
Approve Decline
Date
_
Student Services Administrator Signature
Or Student Activities Coordinator
3.
Mailing Address: (Address where your
checks will be mailed to upon approval)
Street Address City Zip Code
click to sign
signature
click to edit
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