Saluki Cares Emergency Fund

Purpose:

The Saluki Cares Emergency Fund was created, in conjunction with the SIU Alumni Association and SIU Foundation, to assist Southern Illinois University Carbondale students with an unforeseen financial emergency or catastrophic event which prevent them from continuing their education at SIU. The number of students who can be served by the Saluki Cares Emergency Fund is subject to the availability of funds. The fund must be sustained by continual contributions from alumni, parents, faculty, students, staff and friends of the University.
Eligibility Requirements:
- Must be enrolled as a full-time, undergraduate student
- Must be attending classes on the Carbondale campus (cannot be web-based or distance learning)
- Must be in Good Academic Standing with an Institutional GPA of 2.0 or greater
- Must not have current sanctions from Student Rights & Responsibilities
Expenses NOT covered include, but not limited to:
- Tuition, fees, health insurance, and study abroad costs
- Parking tickets and other fines.
- Costs for entertainment, recreation, non-emergency travel or other non-essential expenses
- Expenses that could be anticipated and other non-emergency related expenses.
- Expenditures resulting from poor financial management.
- Assistance with rent.
- Assistance with utilities and other household expenses
General Information:
Name: *

First Name Last Name
Dawg Tag Number: *
SIU Email Address: *
example@siu.edu
Phone Number: *

Area Code Phone Number
Current Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Major: *
School/College: *
Anticipated Graduation Date: *
Select your current year in school:
Current GPA: *
Financial Questions:
Are you currently receiving financial aid/scholarships?
If so, have you accepted all the financial aid offered?
If so, did you receive a refund?
Have you received a refund check?
Amount Received:
Have you received funds from the Saluki Cares Emergency Fund before?
If yes, what amount?
When did you receive Saluki Cares Emergency Funds?

Month Day Year
Date
Are you currently employed?
If yes, where?
Semester you are seeking assistance:
Personal Statement:

Please provide a detailed description of your financial emergency including the circumstances leading to this situation, efforts made to address the situation, potential impact on your academic career, and how any assistance awarded will be used.
Please enter your personal statement here: *
Please submit additional supporting documents that show financial need or temporary hardship.

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PLEASE SIGN THE FOLLOWING STATEMENT OF CERTIFICATION:

By typing my name below, I certify that the information I have provided is true and complete. I will notify the Dean of Students Office/Saluki Cares in writing immediately if after submission of this application there is any change in the information provided. I understand that falsifying or withholding information in this application may result in a referral to Student Rights and Responsibilities.
Digital Signature: *
Today's Date: *

Month Day Year
Date
Should be Empty:

Purpose:

General Information:

Financial Questions:

Personal Statement: