KSSA Emergency Fund Application
Kent School of Social Work
Emergency Fund Application
The Kent School Emergency Fund is one time award to students who find themselves in a financial crisis. This award is considered on a case by case basis by a three-person committee. Applying for funds does not guarantee an award will be granted to the applicant. The maximum award is $350. The funds will be disbursed to the applicants Higher One account. This means the applicant must have a zero balance with the University to receive the funds. Upon submission of a completed application and documentation an award can be made in approximately 7 days.
Please complete the following:
Name of applicant: _______________________________________________________________ Student ID: _______________________
Applicant’s address: ____________________________________________________________________________________________________
City/State: ______________________________________________________________________ Expected graduation date: ____________
Phone Number: ___________________________ Email: ________________________________________
Amount requested ($350 maximum):
Brief description of emergency need:
__ Documentation enclosed or attached.
I hereby acknowledge the information I have provided to be true.
Applicant signature / date
Administrative use only Committee initials ______ Kent administrator officials_______