Fillable Get File Group Id 4788123 (California Maritime Academy)

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Get File Group Id 4788123 (California Maritime Academy)

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The Get File Group Id 4788123 (California Maritime Academy) form is 2 pages long and contains:

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File type: PDF

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Application
_____________________________________________________________________________________
Student ID Number Semester and Year Expected Graduation Date
_____________________________________________________________________________________
Last Name First Name Middle Initial
_____________________________________________________________________________________
Local Address
_____________________________________________________________________________________
City State Zip
_____________________________________________________________________________________
Email Telephone/Cell
Itemized Budget: Please attach supporting documents of the event or situation and an itemized budget on how
funds will be spent. Applicants may be required to provide further documentation if the committee needs
additional information to make a decision.
Description of what you need
funded (car repair, rent, academic
supplies)
Amount ($00.00 format)
Type of documentation provided
(attach with application)
Total amount requested (maximum is $500)
Please provide complete answers to the questions below (attach additional sheets if necessary).
1. What are the circumstances that led you to apply for the student emergency grant? (Must demonstrate
a one-time, unexpected crisis that is impacting your current enrollment)
2. What other types of assistance have you sought?
3. How will this fund allow you to continue your education and help you achieve your goals?
I, the undersigned, certify that the information provided on this application is true.
______________________________________________________________________________
Applicant Name (print) Applicant Signature Date
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signature
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Get File Group Id 4788123 (California Maritime Academy)

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Completed 18 July 2020

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