Name
*
First Name
Last Name
M#
*
UC Email Address
*
@mail.uc.edu
What amount of funding are you requesting? Include your outstanding student account balance in the total amount (if applicable).
*
What changing or unanticipated factors contributed to this becoming an emergency during the current term?
*
How will the emergency funds be utilized? Be specific.
*
What other options have you pursued for financial aid, loans, or relief?
*
Attach any supporting documentation (photos, receipts, emails, budgets, etc.) along with your application.
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