Fire Activity Emergency Funding from the SMCCCD Foundation

This application is for SMCCCD students who have been impacted by the recent fires in the community. Students can request temporary financial assistance to help pay for essential expenses.

Student First Name

Student Last Name

Student ID #

Enter your G# (ex. G01234567)

my.smccd.edu Email Address

Enter your my.smccd.edu email. (ex. username@my.smccd.edu)

Mailing Address Confirmed in WebSmart

Before submitting this form, login to WebSmart and confirm your mailing address is correct. WebSmart address: https://xe-ssb8.smccd.edu/ Have you confirmed your MAILING address is correct?

Phone Number

Enter your full phone number, including area code. (ex. (650) 555-5555)

# of Credits Enrolled

How many credits are you enrolled in during the Fall 2020 semester?

Primary College

Fire Emergency?

Is your emergency situation related to the current fires in the community?

Impact of Fire Activity

Select ALL that apply as a result of the recent fire activity.

Fire-related Emergency Description

Any additional information to add about how the recent Fire Activity has impacted your financial situation and why you should be issued these Emergency Grant Funds?

Send me a copy of my responses

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