Emergency Assistance
This emergency aid is intended to be a one-time assistance for students who experience an unexpected emergency during the current semester. This fund is not intended to help cover the cost of tuition, textbooks or other non-basic needs. Please complete the entire application to be considered for the emergency aid fund. Citizenship and permanent resident status are not requirements; all students are eligible to apply. Please allow up to 5 business days for a response regarding your application (weekends and holidays extend this response time). An ACC Mental Health Counselor will reach out to you if additional information is needed.
Name
*
First Name
Last Name
ACC Student ID #
*
ACC ID Number
ACC Student Email
*
Must be Current ACC Student Email Address
Phone Number
*
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Area Code
Phone Number
Today's Date
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Month
-
Day
Year
Date
How many credit hours are you registered for this semester?
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What program or degree are you pursuing?
Are you currently receiving financial aid or scholarships? If so, how much have you been awarded this semester?
*
Are you a foster care or former foster care youth?
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Are you a veteran?
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Please describe your current living situation.
*
Are you currently employed? Full or Part-time?
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Are you currently experiencing food insecurity?
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Do you currently have any dependents? If so, how many? If yes, are you receiving any additional support/assistance for your dependents?
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Please describe the nature of your unexpected emergency. Supporting documentation encouraged. Please upload below if available.
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Please explain how this unexpected emergency will affect your ability to remain enrolled at ACC.
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Please explain in detail what the funds will be used for and when they will be needed.
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Upload any documentation here.
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