Is this request for a reimbursement of funds already spent?
If yes, please attach receipts No
What would funding be used for? Please include an itemized description with prices, amounts, payment due
dates and other pertinent information. (Attach additional pages and documentation if needed).
Have you used or researched other potential assistance, such as WNCC food pantry, internal/external
scholarships, Gap or Ace funding, Pell grant, other grants, work study, loans, etc. (Please list)
Have you received monies from the Emergency fund before?
How did you hear about
the emergency fund?
Are you currently
If yes, how many hours?
If no, list reasons for not having or seeking employment
Please list all employers
Please list all campus and/or community involvements and other time commitments.