EMERGENCY GRANT APPLICATION 2022 - BATES TECHNICAL COLLEGE

Fill in all sections. Incomplete applications may delay the selection process. If you have questions or concerns email financialaid@batestech.edu.

*MULTIPLE REQUESTS WILL NOT BE ACCEPTED

First Name*

Middle Initial

Last Name*

Email*

Phone Number*

Put NA if none available.

Student ID*

Date of Birth*

Have you completed the 22-23 FAFSA?*

Select or enter value

You must complete your 22-23 FAFSA before filling out this application

Quarter for which you are requesting funds*

Select

Please Explain Your Emergency Situation*

Total Amount Requested*

Please enter the total amount of funds you are requesting.

Assistance Type Requested*

Select

Requested amount for Books - Supplies - Kits

Please enter how much funding you are requesting for Books - Supplies - Kits.

Requested amount for Child Care

Please enter how much funding you are requesting for Child Care.

Requested amount for Fees and Fines

Please enter how much funding you are requesting for Fees and Fines. This cannot be for tuition and fees. *Documentation is required

Requested amount for Food

Please enter how much funding you are requesting for Food.

Requested amount for Health Care

Please enter how much funding you are requesting for Health Care.

Requested amount for Housing/Utilities

Please enter how much funding you are requesting for Housing.

Requested amount for Technology (Software, etc.)

Please enter how much funding you are requesting for Technology (Software, etc.)

Requested amount for Transportation.

Please enter how much funding you are requesting for Transportation.

File Upload - Highly Recommended

Uploading a scanned copy, clear photo, or screenshot of any documentation will help demonstrate your financial need related to the COVID-19 Coronavirus pandemic. Examples of documentation can include rent or mortgage statement, medical bill, layoff notice, utility bill, or other verification that shows how COVID-19 has impacted your life.

Drag and drop files here or

Please read and check the box for each statement below:

Please check this box if the below statement is true.

This emergency will prevent me from continuing my education.*

By checking this box, I acknowledge that I can only use the assistance provided for purposes such as food, housing, course materials, technology, health care, transportation, and childcare .

Acknowledgement of Restriction*

I understand that funds are subject to eligibility and are not guaranteed. Allow 1week to process.

Acknowledgement of Eligibility and Non-Guarantee*

By accepting this funding I agree to be contacted by a college employee to make sure that the emergency situation has been resolved.

Acceptance to be Contacted*

By clicking submit, I certify that statements made on this application form are complete and true, to the best of my knowledge.

Certification of Statements*

Send me a copy of my responses

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