Fillable SWCC student emergency funding is dedicated to helping (Southwest Virginia Community College)

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SWCC student emergency funding is dedicated to helping (Southwest Virginia Community College)

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SWCC student emergency funding is dedicated to helping students with temporary, short-term financial assistance.
Emergency funding is not intended to provide ongoing relief of recurring/routine expenses or as a consistent
supplement for educational expenses.
Consideration will only be given to applicants that have experienced financial hardship due to unforeseen emergency
and/or catastrophic event.
**Documentation of Unforeseen/Catastrophic event must be attached to application for consideration; ie: termination
notice, vehicle repair estimate, medical bill, etc.)
Qualifying Examples of Unforeseen Events
The following examples may include, but are not limited to:
Natural disaster such as fire, tornado, etc.
Uncovered costs related to unexpected/unforeseen medical expenses
Vehicle breakdown/accident
Loss of employment due to unexpected lay-off
Homelessness
Death of guardian, spouse, or child
Non-Qualifying Events
The following examples may include, but are not limited to:
Loss of employment due to voluntary resignation, temporary employment, or known/scheduled time off
Routinely occurring bills such as electric, rent, car payment, etc. (unless in default due to a qualifying unforeseen
event listed above)
Moving expenses (unless due to an emergency situation such as domestic abuse, homelessness, etc.)
Child support
Routine medical expenses such as annual health check-up, dental cleanings, etc.
Eligibility Requirements
To be eligible for consideration a student must:
Be currently enrolled in the semester for which they are requesting
assistance
Be enrolled at least half-time (6 credit hours)
Have at least a 2.0 GPA and be in good standing
Have already completed at least 6 credit hours at SWCC
Be able to provide sufficient documentation of financial hardship
Award
If request is approved, the Student Emergency Fund will award up to a maximum of $250 per student, per semester, and
not more than twice per student; however students may submit an appeal for extreme emergency situations. Funds
awarded through the SWCC Student Emergency Fund are not loans, and do not require repayment to SWCC.
Application Procedures
1. Student must complete the Student Emergency Fund Assistance application.
Student must fill out the Student Information and Student Financial Information sections.
Student must submit documentation of hardship along with application.
Student Emergency Fund Criteria
Updated 2/3/2020
2. Student must turn in completed application and all documentation to the Student Success office located
in the Buchanan Hall, room 150. (Application/documentation may also be scanned and emailed to
shelly.musick@sw.edu or dyan.lester@sw.edu).
3. The assistance application will be submitted for review. Every effort will be made to respond within 5
business days from the date it is receive.
4. Student will be notified via their SWCC student email of the decision, as well as instructions on how to
retrieve funds, if request is approved.
5. Assistance will be provided in the form of a check as direct payment to a service provider, retailer, etc. A
check made directly to a student is possible, but only under special circumstance and left to the
discretion of the reviewer.
6. Student must make arrangements to pick up funds within 2 business days of approval notification.
Eligibility
I am enrolled at least half-time (6 credit hours) at SWCC for the YES NO
semester in which I am requesting funds
I have already completed at least 6 credit hours at SWCC YES NO
I have at least a 2.0 GPA and am considered in good standing YES NO
If you answered yes to ALL questions above, you are eligible to apply for assistance. Please print and complete the application
below. Please keep in mind that incomplete applications will not be considered.
Application Instructions:
Complete Student Information and Student Financial Information sections of application
Attach documentation explaining circumstances, i.e. unpaid bill or invoice.
Completed application may be submitted to the Student Success office in Buchanan Hall-- room 150 or scanned and emailed
to shelly.musick@sw.edu or dyan.lester@sw.edu .
Student Emergency Fund Assistance Application
Updated 2/2020
STUDENT INFORMATION
Name_____________________________________________________ SWCC Student ID#______________________________
Address______________________________________________City____________________________ST_____Zip_____________
County______________________________ Phone:(home)__________________________(cell)_____________________________
SWCC Student Email_____________________________________________________________________(Required for notification)
How will you use funds? (Documentation must be provided)
___Tuition
___Transportation
___Living Expense
___Medical Expenses
___Books
___Other__________________________________________________________
Amount Requested $___________________
What emergency situation has occurred to initiate this request?___________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Is your attendance and/or performance in your courses dependent upon receiving this award? If so, how?
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Please include how these funds will help alleviate your circumstances. List specific funds needed (rent, utilities, medical, etc.) Attach
additional pages if needed.
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
All information on this application is complete, true, and correct and I am in need of these funds in order to continue my education at
Southwest Virginia Community College.
Student Signature Date
Student Name:_________________________________________________ SWCC ID#:____________________________
STUDENT FINANCIAL INFORMATION
To be completed by the applicant.
Are you currently employed? YES___ NO___ If so, monthly income: $____________ Employer Name:_______________________
Marital Status:______________________ Number of Dependents:_________
Estimated Costs (per month)
Rent/Mortgage Amount: $___________
Food $___________
Transportation $___________
Utilities $___________
Child Care $___________
Cell Phone $___________
Cable/Internet $___________
Other expenses:
Expense:______________________ $___________
Expense:______________________ $___________
Total Expenses Per Month $___________
ADDITIONAL NOTES/REQUIREMENTS:
Financial Aid disbursements will be considered in the award process.
Documentation of hardship must be attached to the application when submitted. (ex. utility termination
notification, expense quote from vendor or service provider, eviction notice, medical expense bill, pink slip, etc.)
INTERNAL USE ONLY
Request approved for $_________________ Request denied
___Funds not available
Student notified______________(date) ___Incomplete application
___Request not unforeseen or “catastrophic” in nature
___Unsatisfactory academic performance
___Other:______________________________________
Authorized Signature Date
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Completed 27 July 2020

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