RPIRG student member urgent need health and legal fund

RPIRG student member urgent need health and legal fund

Welcome! Please fill out this form to access our urgent need fund for health and legal costs. You are not required to demonstrate financial need for this fund.
How this fund works: Any University of Regina, Campion College, Luther College, or FNU student (including those attending the Saskatoon or Prince Albert campuses) can apply.

This fund is meant to serve very short-term needs - it is a small amount but RPIRG has currently prioritized distributing it to a wider number of students.

This fund is meant to help cover unexpected or one-time large health or legal costs - such as seeking legal advice, cost of legal documents, accessing gender-affirming surgery, having to take unpaid time off work for bereavement or family care support. This fund also can be used towards expenses related to traveling for unexpected or high health or legal costs (transportation, accommodations, childcare, food, etc.).

Eligible amounts: up to $100 for an individual and $200 for a household

How to apply: Please simply fill out the form below - the only required information will be your student number and contact information, what funds are for and if for personal or household need, and how you would like the funding distributed. We are only collecting contact information for the express purpose of getting funding to you, and will not share any of your information with anyone else. We may contact you about providing feedback about your experience applying to and receiving funding to help us improve our services, but responses are optional.

If you cannot accept funding electronically or by mail we will work with you to arrange pickup or delivery. If you are having any trouble filling out the form, please do not hesitate to contact our Executive Director Krystal (she/her) by email (info@rpirg.org) or phone or text (306.737.5739)

PLEASE NOTE: RPIRG student members can only receive funding from this grant once per RPIRG fiscal year (May 1 - Apr 30).

Distribution of funds: There will only be one person working on distributing funds, who will work to fulfill requests as soon as possible. They will be filled in batches 1-2 times per week, so might take up to two weeks to be sent.

NOTE: RPIRG also has a separate urgent health and legal fund for self-identified BIPOC/racialized RPIRG student members. The latter has a separate budget. For more information about our BIPOC fund, visit www.rpirg.org/BIPOC-fund, and to fill out the application form for it, please go back to www.rpirg.org/funding-2.
Are you applying as an individual (to cover a cost for something just one person needs - for ex. obtaining a legal document for yourself) or as a hoursehold/family (costs that will support multiple people - for ex. cost of childcare when undergoing for a health procedure): *

as an individual for me and my household/family (more than 1 person)
How many people are in your household/family (if you chose this option in the above question)?
Please briefly specify why you are applying and how it is related to an unexpected or large health or legal cost: *
Name *

First Name Last Name
Pronouns (ex. she/her, he/him, they/them, etc.)
Student number *
Email (if you are requesting to receive funding by etransfer, please use the email address associated with your online banking) *
example@example.com
Phone number - please also note if it is a cell number that we can text *
Address - only to be used if cheque is requested for receiving fund, and for collecting location information about where our members are being served to help improve our services (for this purpose we will only note locations, not names, and will never share your location with anyone) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please indicate how you would like to receive funding - you can choose more than one if you don't need a specific one, or select 'any of the above.' Note: etransfers are quickest to process as they can be done digitally. *

e-transfer (digital, sent direct to bank account) Visa gift card (can only provide physical cards, but can make in-person or online purchases) cheque any of the above
I consent to the use of my contact information to be used for the sole purpose of delivering funding to me, and collecting location data (not connected to my name or other identifying information) to help RPIRG improve their services. (If you have any questions about this, please contact Krystal with the contact information above) *

consent
I would like to join RPIRG's monthly newsletter list to receive any future information about RPIRG funding and other programs and services *

yes no
NOTE: PLEASE DO NOT CLICK 'SUBMIT' MORE THAN ONCE. If you are given a form error, please contact us directly at info@rpirg.org. If the form is taking a long time to submit, please wait and come back to it. If it is taking longer than you can wait, it is best to just email the above information to info@rpirg.org or attach screenshots of the form. Thank you!
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