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UCA College of Education Student Emergency Fund Application
The Purpose of the UCA College of Education Student Emergency Fund is to assist UCA College of Education students with short-term emergencies. These funds are not intended to be used for routine expenses or as a consistent supplement. Emergency situations could include but are not limited to: death or serious illness of a parent, spouse, or child; housing fire/flood; utility shut-off notice; lack of food; loss of child care; or other extenuating circumstances. This fund cannot be used to provide tuition support.

Maximum request amount: $250

ELIGIBILITY:
 Currently enrolled as an undergraduate or graduate student
 Be enrolled in at least full-time status (12 hrs Undergraduate, 3 hrs Graduate)
 Have a minimum 2.7 GPA and be in good academic and conduct standing (Applications not meeting this
requirement may still be considered.)
 Majoring in a degree within the College of Education
 Currently enrolled in a transitional course in the Department of Student Transitions
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First and last name *
Student B Number *
Email Address *
Phone Number *
Current classification at UCA *
Are you in good academic standing at UCA? *
Have you completed at least one semester at UCA? *
Most recent semester completed? *
Are you admitted to teacher education? *
Date of admission.
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Program of study. *
Do you qualify for financial aid? *
If you receive financial aid, detail all the aid you are currently receiving.
Are you employed? *
Monthly income *
How many members in your household are you responsible for? *
Have you requested assistance from any other organizations or individuals? (civic or community groups, church groups, family, friends, etc.) *
If you responded yes to the previous question, detail your efforts in seeking assistance from other organizations.
Do you receive WIC, SNAP, TEA, or HUD/Section 8 benefits? *
Required
Have you previously received funds or support from the UCA Student Emergency Fund or the COE Student Emergency Fund? *
Amount of money you are requesting from the  UCA COE Student Emergency Fund ($250 maximum): *
Choose one of the following emergency categories that best fits your need. *
Please provide a description of your emergency category. For example, if you are requesting assistance paying for textbooks, list the title(s); if you are requesting assistance paying for testing registration, state the name and purpose of the test. *
Describe your emergency and why you are in need of an emergency scholarship. *
What will you do to cover such expenses in the future? *
How will this award allow you to continue your education and help you achieve your goals? *
Please share any other information you would like the committee to know regarding your application (250 words or less):
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