LSU College of Engineering Crisis Fund Request

Please notify the CoE Scholarship office (coescholarships@lsu.edu) after you submit an application for crisis assistance. You will be contacted to confirm your submission and to request supporting documentation (if needed). Students are not eligible to receive funds from both the LSU Emergency Support Fund and the Engineering Student Crisis Fund during the same semester. Awards from the Engineering Crisis Fund are one-time and typically range from $500-$1,000. Students must be in good standing (not on scholastic probation) to be eligible. Please direct any questions about the Crisis Fund or the application to coescholarships@lsu.edu.

Today's date*

Date

Name*

First NameLast Name

LSU ID #*

Ex: 89-XXX-XXXX

Email address*

example@lsu.edu

Current residence and location (Ex: Apartment in Baton Rouge, Residence Hall (name), etc.)*

Major*

Classification*

With whom do you live? (Ex: family, roommate(s), live alone, etc.) If you do not live alone, please state the number of people living at the residence.*

How do you finance your education? (Ex: family assistance, financial aid/scholarships, loans, employment, etc.) If you are employed, please state where and how many hours per week you typically work.*

What specific event(s) occurred that prompted your request for crisis assistance? Please also state how this event affects your ability to attend or remain in school.*

Is there any additional information that you would like the crisis committee to consider?

Please notify the CoE Scholarship office (coescholarships@lsu.edu) after you submit an application for crisis assistance. You will be contacted to confirm your submission and to request supporting documentation (if needed). Students are not eligible to receive funds from both the LSU Emergency Support Fund and the Engineering Student Crisis Fund during the same semester. Awards from the Engineering Crisis Fund are one-time and typically range from $500-$1,000. Students must be in good standing (not on scholastic probation) to be eligible. Please direct any questions about the Crisis Fund or the application to coescholarships@lsu.edu.

I have read and understand the statement above.*

YesNo