EmailMe Form - Thunder CARES Grant Program

Student ID *

Student Name *

First Last

Degree/Major/Program *

Expected Date of Graduation *

MM / DD / YYYY

Semester(s) Enrolled *

Summer Semester 2021

Fall Semester 2021

Spring Semester 2022

(1) For which semester are you requesting funding? Select all that apply *

Fall 2021

Spring 2022

(2) Select all the grants that you are applying for *

Tuition and Fees

On-Campus Housing Grant

(3) Have you submitted the 2021-2022 FAFSA? *

Yes

No

(4) Did you receive Pell Grant funding? *

Yes

No

(5) Indicate the amount being requested and how funds will be used. *

(6) Please describe in detail how COVID-19 has affected you financially and how this funding can assist you. Please provide any documentation that may support your request. *

Please only Check the following boxes that appy to you. *

Personally, lost employment or reduced income

Immediate family members lost employment or reduced income

Incurred medical expenses

Incurred other pandemic related expenses

Other circumstances (please explain)

File Upload -- Documentation to support the statement(s) above

If you have a balance for an upcoming term (not a past term), do you give ABAC permission to apply your grant to your balance? Any remaining portion of the grant will be sent to you through your eStallion account. *

Yes

No

Signature

Clear

I certify the information given above in this application is true. I also give members of the selection committee permission to access my academic and financial aid records for the purposes of determining grant eligibility.

Today's Date/Time *

MM / DD / YYYY HH : MM AM/PM