Victor Valley College - COVID-19 Aid & Relief

1

Name* This field is required.

First Name

Last Name

2

VVC Student ID* This field is required.

3

VVC Student Email* This field is required.Please note: Only VVC Student Email will be valid

example@student.vvc.edu

4

Phone Number* This field is required.

5

Within your household, who remains currently employed (check all that apply):* This field is required.

Student

Family Member(s)

None

6

Employment Points

7

Work hours reduced due to COVID-19 (check all that apply):* This field is required.

Student

Family Member(s)

None

8

Work Hours Reduced Points

9

I am currently the Head of Household:* This field is required.

Yes

No

10

Head of Household Points:

11

Do you have access to WiFi at home?* This field is required.

Yes

No

12

Technological Need Points

14

Program Participation Points

15

Please select the most urgent reason you need emergency support:* This field is required.

Textbooks/Online Access Codes

Housing/Rent

Food

Other

16

Would you like to be contacted regarding food/housing resources?

YESNO

17

I am in current need of a:* This field is required.

Laptop

Laptop with internet access

NONE

18

Please share a brief reason for your need for a laptop.* This field is required.

19

Total Points

20

Are you 2020 Apple Valley High School graduate?* This field is required.

YESNO

21

Have you had the chance to meet with a VVC Counselor?* This field is required.

YESNO

22

Have you had the chance to meet with a VVC Counselor?* This field is required.

YESNO

23

Have you received an up to date Ed Plan?* This field is required.

YESNO

24

By submitting this application, you are confirming that you are a registered VVC student and that the information you provided is accurate.