Emergency Housing Fund App
PLEASE READ CAREFULLY

This application is for the Emergency Housing Fund, which is exclusively designated for emergency housing needs. Please carefully review the following terms:

    1.    Purpose of Funds:
  • The funds must be used solely for emergency housing.
  • You are required to submit receipts as proof that the funds were spent on housing-related expenses.
    2.    Accountability:
  • Failure to provide receipts will result in ineligibility for future funding opportunities.
    3.    Funding Limitations:
  • Approval of funding is not guaranteed.
  • The maximum amount available is up to $500 per semester.
    4.    Future Applications:
  • Receiving funding once does not guarantee approval in subsequent applications.
  • Applications are reviewed on a case-by-case basis.

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Email *
Last Name  *
First Name *
Please check your age *
Required
Which HBCU will you be attending? *
Phone *
If we are unable to reach you by phone, who is the next best contact? Provide their name and number.  *
Name of Mafia Mentor *
Have you already checked with your school about staying in the dorm? *
What was the result?  *
In detail, tell us the situation and why you are requesting a stipend? *
How much are you requesting? You can ask for UP to $500 *
Tell us anything else you want us to know about you.  *
If approved, how do you need the funds sent to you? *
What is your handle for the method of payment you chose above? *
I acknowledge that I understand the terms of this emergency housing fund. *
I acknowledge that I am receiving cash and promise to use these funds solely for emergency housing purposes. *
I acknowledge that I must email my receipts for expenses. *
I understand that application submission does not guarantee funding. *
A copy of your responses will be emailed to the address you provided.
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