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Rainy Day Fund Application - Single Parents Program Students Only
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* Indicates required question
Email
*
Your email
Date
MM
/
DD
/
YYYY
Name
*
Your answer
Student ID Number
*
Your answer
Pronouns
Your answer
Do you attend Champlain College Online, or attend classes on campus?
*
Your answer
Phone Number
*
Your answer
Are you a Post-Secondary Education (PSE) Program Participant?
*
We ask, so that if you give us permission, we can try to coordinate with another case manager around exploring resources.
Yes
No
Other:
When do you expect to graduate?
Your answer
Have you received help from the Rainy Day Fund before? If so, when and for what?
Your answer
Please describe the nature of your emergency, being as specific as possible.
Your answer
What other resources have you explored to resolve this situation?
Your answer
What resources do you have available to resolve this emergency?
Your answer
Are you getting a refund (loan money through Financial Aid) from the school? If so, how much and how will that impact your available resources?
Your answer
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