Mo’s Fund Application
Name: Last, First
Street Address: Student ID: Graduation Year:
City, State, Zip Code Home Phone: Cell Phone:
Email Address Preferred Contact Method:
from Mo’s Fund ($2,500 maximum).
I am requesting $
Death in the family (e.g., obituary or death certificate)
Unusual uninsured medical expenses caused by severe illness or accident
(e.g., copy of medical bills)
Uninsured losses caused by fire, flood, crime, or other disaster (e.g., copy
of insurance claim, police report or other documentation)
Job loss of family member (e.g., proof of unemployment)
Loss of primary residence (e.g., eviction or foreclosure notice)
Mo’s Fund is designed to provide one-time financial support to Moravian College students who are experiencing a
financial hardship. Funds are limited and will be provided on a first-come, first-served basis. If possible,
we suggest applying within 30 days of the documented hardship or personal circumstance. Upon review of
your Mo's Fund Application, the Selection Committee may contact you for additional explanation or
supporting documentation.
Student Information:
Description of Hardship:
Check all that apply. Please provide suggested supporting documents, if available.
I have read and understand the provisions of Mo’s Fund. I understand that submission of this application
does not guarantee approval.
I hereby authorize the appropriate individuals to review my student record and disseminate information
relating to my Moravian College academic and personal records to the Mo’s Fund Selection Committee.
Signature of Applicant
Explanation of Hardship:
Please provide an explanation of your financial hardship in the box below.
Please return your completed application and supporting documents to the Office of Financial Aid Services via:
Mail (1200 Main Street Bethlehem, PA 18018)
Fax (610-861-1346)
Electronically though Xmedius SendSecure In-person (1st floor Colonial Hall)
click to sign
click to edit