SCRC COVID-19 Relief Fund
This relief fund is for residents that reside within the Shippensburg Area School District and have unmet needs created by COVID-19. Once the form is submitted, an SCRC representative will contact you to discuss your application. This relief fund is made possible by donations from Volvo Construction Equipment and its employees.

We are asking for the information in this form so that we can help connect you to additional resources. You may choose to skip any of the questions and instead talk with an SCRC representative about your situation. Please call 717-658-2092 if you would like to speak to an SCRC representative directly. Talking to an SCRC representative instead of completing the form does not accelerate your request. Thank you!
First Name *
Last Name *
Address (Street, Town, Zipcode): *
Phone Number (xxx-xxx-xxxx): *
Email Address:
What county do you live in?
Clear selection
What school district do you live in? *
Are you a veteran?
Clear selection
Are you differently-abled (disabled)?
Clear selection
How many adults (age 18 & older) are in the household?
How many children (age 17 & younger) are in the household?
Do any of these situations apply to you? Please check all that apply.
How did you hear about the COVID-19 Relief Fund?
Clear selection
Never submit passwords through Google Forms.
This form was created inside of Shippensburg University. Report Abuse