Student Financial Relief Fund Application

Student Financial Relief Fund Application

Instructions: Please complete sections I and II. For items which do not apply write “Not Applicable”. Read the SFRF program information carefully as your signature below certifies that the information you are providing is accurate and complete. Failure to provide accurate information may result in an Honor Code violation.
SECTION I—Applicant Information:
Full Name

First NameMiddle NameLast Name
Student ID
Preferred Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number

Area CodePhone Number
Expected Graduation Date
Class Year & Division
Are You Employed
If yes, please list your employers name, address, and phone number.
Employers Name
Employers Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employers Phone

Area CodePhone Number
Number of hours worked each week
Monthly income from work
Are you receiving student loans?
If yes, check all that apply:
Please list the Loan Amount per year
Approximate monthly expenses (rent, food, transportation – do not include tuition)
Amount Requested
SECTION II—Financial Need

Please explain the nature of the emergency and why you are unable to provide your own funds (if you need additional space, please attach a written statement to the application.)

An application should address a student's specific change in financial circumstances rather than a generalized financial need, the amount being requested, the urgency of the student's situation, and its effect or impending effect on the student's continuing studies at the Law School.
Explanation of Need
Please attach any appropriate additional documentation in support of your application.

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Acknowledgement

With my signature, I affirm the following:

1. I have read, understand, and agree to abide by the policies and procedures related to the Law School’s Student Financial Relief Fund;

2. I either intend to graduate this academic year or maintain my status as a Columbus School of Law student next academic year;

3. I understand that by submitting this application, I am certifying that the information provided is truthful and complete and that I am subject to the Honor Code.
Name:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please verify that you are human
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