MERCED COLLEGE
Emergency Grant Application
S
ubmit this application to the Merced College Financial Aid Office financialaid@mccd.edu
through your student email account.
Notification of award will be sent to your student email.
PERSONAL INFORMATION
Name: _________________________________________________ Merced College ID: ______________________________
Address _______________________________________________________________________________________________
Street city zip code phone number
A
re you employed? YES NO Where? _______________________________________________________
Emergency Need:
Housing/Rent
Food
Childcare
Transportation/Car Maintenance
Healthcare/Medication
Other
Briefly describe your emergency
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Major ___________________________________ Probable date of graduation from Merced College? ________________________
What is your goal at Merced College: ___
______________________________________________________________________
________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
Do you plan to attend Merced College next semester?
No
Full-time
Part-time
Less than 6 units
I certify that the information provided on this form is complete and accurate. I give Merced College permission to release this
scholarship application and my academic transcript information to any organization outside the college offering a scholarship
for which I may qualify.
S
ignature of Applicant: _________________________________________ Date: ________________________
click to sign
signature
click to edit
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