Request edit access
Finish Line Grant Online Application
The Finish Line Grant Online Application is a preliminary application to assess students who have met at least 50% completion rate of their program of study that may need additional financial assistance based on unforeseen financial emergencies. Grants can be used for course materials, housing, medical needs (i.e.; eye glasses, hearing aid, assistive devices technology), dependent care, transportation assistance, or other financial emergencies that students face through no fault of their own to complete their educational and training goals. Unallowable expenditures include: Titled or deeded items or when recovery of the expense is anticipated (e.g. rent or housing deposits, mortgage payments, property taxes, car payments, fines and late fees), purchase of vehicles, business startup costs or phone service (including a prepaid plan, minutes etc.).
Email address *
Full Name *
Street Address *
City *
State *
Zip Code *
Preferred Phone *
Date of Birth *
Selective Service Compliance & Veteran Status
Are you a veteran? *
Are you a male who is 18 to 26 years of age registered for Selective Service? *
College Data
Are you a full time or part-time student? *
Student ID Number *
Student Email *
Are you enrolled in a continuing educational or curriculum program? *
Program of Study *
Assessment Questions
Please answer the following questions truthfully and honestly.
What is your marital status? *
What is your employment status? *
Income (Last 6 months from today's date) *
I attest that my income for the last 6 months is true and accurate (self-attestation) *
Do you receive any type of public assistance? *
What types of public assistance do you receive? *
Required
Have you exhausted all resources and services within the county you reside in to assist you with your emergency need(s)? *
Type of Emergency Need(s)? *
Required
Please provide proof or any supportive documentation of the type of emergency you are experiencing. (i.e. light bill, medical needs, car repair, etc.) *
Required
What is the estimated amount of funding you will need to assist you with your emergency need (s)? *
Do you have a NCWorks Online Registration Profile? *
To be eligible for a Finish Line Grant, a student must be in good academic standing, have financial need, and have completed 50% of an academic or training program at CCCC. I consent to CCCC releasing an eligibility determination only to the Triangle South Workforce Development Board. *
Required
Today's Date *
MM
/
DD
/
YYYY
Time *
Time
:
Signature
Submit
Never submit passwords through Google Forms.
This form was created inside of CCCC.EDU. - Terms of Service