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TERRA CARES Emergency Financial Aid Grant (Terra State Community College)

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2830 Napoleon Road, Fremont, Ohio 43420-9670 • 419-334-8400 or 866-288-3772 • www.terra.edu
TERRA CARES
Emergency Financial Aid Grant
The recently passed CARES Act (Coronavirus Aid, Relief, and Economic Security Act) provides Terra State
Community College with funding to award to students as emergency grant aid for expenses related to the
disruption of campus operations due to coronavirus. Students can select one of the following categories for
requesting emergency funds:
Emergency grants can be used for any of the following expenses and services:
Allowable Items
Suggested Request Amount
Food
$250/month/person
Housing
$1500
Transportation
$1000
Course Materials
$1728
(books & supplies)*
Technology
$1500
Health Care
$1000
Child Care
$500/month/child
Displaced Housing Allowance
(applicable to former Landings students)
$1500
*Based on Average Cost of Attendance (COA)
Please use the attached form to request emergency financial aid grant funding for any of the above
allowable expenses / services you have incurred (or will occur) as a result of the on-going
Coronavirus/COVID-19 emergency. You may submit multiple requests during the duration of the
emergency, but funding is limited. You are encouraged to include as many of the allowable expenses
which apply in your initial request, as well as the most detailed documentation available to you.
To qualify to request emergency financial aid grant funding, you must have been enrolled at Terra
State Community College (credit or non-credit) for spring semester 2020 and eligible for participation
in Section 484 of the Title IV of the Higher Education Act of 1965 (possess U.S. citizenship or be an
eligible noncitizen; have a valid Social Security number; be registered with Selective Service [if the
student is male]; and possess a high school diploma / GED / completion of high school in an approved
homeschool setting). Funds will be distributed according to a variety of factors including determined
need and consideration of special circumstances.
You will be asked to describe the expense incurred (or that will be incurred), the specific amount
of the expense, and provide supporting documentation. If documentation is not provided with the
initial request, or documentation does not clearly indicate authorized expenses related to the disruption
of campus operations due to coronavirus as set forth in Section 18004(c) of the CARES Act, we will
follow up for further details prior to final review for funding. Please direct your questions or concerns
to Todd Long, Associate Dean of Students (419.559.2360 or tlong08@terra.edu).
2830 Napoleon Road, Fremont, Ohio 43420-9670 • 419-334-8400 or 866-288-3772 • www.terra.edu
TERRA CARES
Emergency Financial Aid Grant Application
Student Information Section
T 00
Student Terra number Student Last Name Student First Name
( )
Preferred Phone Number
@terra.edu
Email (Terra)
Current Mailing Address City State Zip
I have experienced job loss as a result of the Coronavirus National Emergency
I have been temporarily furloughed/laid-off as a result of the Coronavirus National Emergency
I have incurred medical expenses as a result of the Coronavirus National Emergency
Request for Emergency Financial Aid Grant
Type(s) of Expense(s): (select all that apply)*
Allowable Expense
Amount Requested:(see
suggested amounts)
Food
$
Housing
$
Transportation
$
Course Materials
$
Technology
$
Health Care
$
Child Care
$
Displaced Housing Allowance (applicable to former Landings students)
$
Other (Please explain.):
$
Total Amount Requested
$
Describe the expense(s) incurred or expense(s) that will be occurred, including the specific amount of
the expense:
0
2830 Napoleon Road, Fremont, Ohio 43420-9670 • 419-334-8400 or 866-288-3772 • www.terra.edu
Please attach available supporting documentation. For example, receipts or estimated
cost for technology (laptop, tablet, internet access), textbooks, supplies, medical bills,
daycare invoice/contract, etc. Providing our office with documentation supporting your
request will assist us in quickly and efficiently providing emergency financial aid grant
funding to cover allowable expenses. Clearly identifying how a document connects to
your situation (providing name, date, and cost clarification on all documents) will
expedite the review process.
I understand that there are minimum qualifications
I understand that there are limited emergency funds. There are no guarantees that I
will receive an award or that I will receive the amount I requested.
I certify that my expenses above are a direct result of the disruption of campus
operations due to the coronavirus.
I certify that all answers and information provided in this application are complete,
true, and accurate to the best of my knowledge. I understand that any misrepresentation,
falsification of any facts in this application may result in my application being denied.
Signature Date
(typed signature will be accepted for electronic submission directly from official terra.edu account)
Please submit this form and corresponding documentation to Todd Long,
Associate Dean of Students, at tlong08@terra.edu
Terra State Office use only
Associate Dean of Students:
Approved
Denied
Date
Initials
Notes:
Financial Aid Office:
Evaluated
Tier
Date
Initials
Notes:
Committee
Evaluated
Date
Initials
Notes:
Final Decision of Vice President for Student Affairs and Enrollment Services: if applicable
Approved
Denied
Date
Initials
Notes:
Cashier Office
Evaluated
Date
Initials
Notes:
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Completed 26 July 2020

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