Fillable North Carolina Community Colleges Governors Emergency Education Relief (Pitt Community College)

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North Carolina Community Colleges Governors Emergency Education Relief (Pitt Community College)

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The North Carolina Community Colleges Governors Emergency Education Relief (Pitt Community College) form is 1 page long and contains:

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  • 10 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Pitt Community College

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North Carolina Community Colleges
Governor’s Emergency Education Relief
(GEER)
2020-2021 Student Application
I
nstructions: Complete this application and return the completed application to the college’s Financial
Aid Office or Workforce Continuing Education Department.
Personal Information:
F
ull Name: _________________________________________________________________________
Home Address: ______________________________________________________________________
City, State, Zip Code: __________________________________________________________________
E-Mail Address: ______________________________________________________________________
Phone Number: _____________________ Mobile number: ____________________
Educational Information:
College you are attending: _____________________________________________________________
____ Occupational Continuing Education Student (must be enrolled in a credentialing program of at least
96 hours.)
Select the Pathway you are enrolled in:
C
ourse you are enrolled in: _____________________________________________________
Other Questions:
H
ave you or members of your family been directly or indirectly affected by COVID-19?
____ yes ____ no
I
f yes, how?
____________________________________________________________________________________
____________________________________________________________________________
I have read and understand the requirements for assistance. I hereby declare that the information provided
on this form is complete and correct to the best of my knowledge.
_______________________________________ ____________
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North Carolina Community Colleges Governors Emergency Education Relief (Pitt Community College)

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Completed 3 February 2021

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