Barb's Blessings Grant Application
Complete this application and upload the required documents no later than 60-days prior to the start of the term to be considered for a grant.
Applicant Information
Student ID Number (if available)
Full Name
*
Address
*
City & Zip
*
E-Mail
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name / Place of Current Employment Position
*
Level of Education and Years Attended
*
Marital Status
*
Single
Divorced
Separated
Trade/technical school or community college you seek to attend, or where you are presently enrolled
*
Profession or certificate you're working toward
*
List of dependents and ages
*
US Citizenship
*
Yes
No
Required Documents
Please upload the following. You may save and return later if you need time to gather these.
High School or GED transcript (and transcripts from any schools listed above)
*
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Invoice
*
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Invoice Forthcoming
Invoice or statement showing costs for tuition, books, and fees
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When will the invoice be available?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Two letters of reference (from non-relatives, dated this year)
*
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Typed statement (max one page) addressing your goals, preparation, and financial need
*
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Assessment of Financial Need
These fields auto calculate.If a number does not apply, please enter 0.
Expenses
Please enter numbers only, do not enter dollar signs. If an option does not apply to you, please enter 0.
Tuition
*
Books
*
Fees
*
Total Expenses
Resources
Please enter numbers only. If an option does not apply to you, enter 0
Work Income
*
Veterans Benefits
*
PELL Grant
*
Other Grants
*
please specify source in the field below
↳ List Other Grants Received
please name the other grants you're receiving
Scholarships (specify)
*
↳ List Scholarships Received
please list the scholarships you're receiving
Loans
*
Family Funds
*
Other (specify)
↳ List Other Resources
please list any other sources of support you receive
Total Resources
Balance due for current or past classes?
*
Are you a TANF recipient?
*
Yes
No
FAFSA or Student Financial Aid Summary
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Signature
Grant Applicant Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Status
Please Select
New
Under Review
Recommend
Do Not Recommend
Presented to Board
Approved
Denied
Deferred
Paid
Amount Granted
Paid Date
Deferred To
Committee Notes
Print
Save & Continue Later
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