[24-25 STARRS] Parenting Slug Emergency Gift Card Application
STARRS (Services for Transfer, Re-entry, and Resilient Scholars) is currently taking applications for the 2024-2025 ‘Parenting Slug Emergency Gift Card Program’. The program is able to provide participants with a e-gift card of $100 to help with the purchase of basic needs items (supplies or food) from the following vendors: Target, Walmart, Amazon, or DoorDash.  Cards are at $100 allocations and will be distributed on a first come first serve basis.  This program has limited funds available to assist eligible students throughout the academic year at the undergraduate and graduate level.  You must be a registered and enrolled student parent at UC Santa Cruz to be eligible for this resource. Please direct any inquiries to jrceja@ucsc.edu.

Please fill out the following intake form so that we are able to capture and assess all needs and concerns you might have and try to connect you with resources as best as we can.  Data collected from this survey might be utilized in grant proposals that will be submitted to keep the program funded and available as the funds for this program are not consistent and limited.  The program is currently funded by the UCSC Student Fee Advisory Committee (SFAC). Special shoutout to Heather Willoughby (Class of 2019) for her work towards the inception of this program! 
Sign in to Google to save your progress. Learn more
Email *
Please list your first and last name
What is your student ID # ? *
What are your preferred pronouns
Do you live on or off campus? *
Are you a grad student or undergrad? *
Are you a commuter student?  *
You have a child(ren) that is/are.......check all that apply *
Required
How many children are in your family? *
Required
Which best expresses your family dynamic?
Clear selection
What would you like as your 'Gift Card Program' pick? *
In what ways could this resource benefit you? *
If you are a previous program participant, in what ways was this resource helpful?
What student parent resources at your previous/current institutions have best served you?
What are the barriers to your education that you have identified as a student parent? In what ways could UCSC support you if they were aware of the barriers you experience as a student parent?
What do you think will concern you the most during the school year?
I am in need of...
What other resources / information are you in need of the most at UCSC? 
Would you like to learn more about joining a student parent org, or internship opportunities within STARRS to help bring awareness to your needs as a student parent to the administration? If yes, please leave your email below!
Do you have any other questions or comments? If so, please input here. 
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of UC Santa Cruz.

Does this form look suspicious? Report

Google Forms