第一个名字 (必需)

姓 (必需)

学生证 (必需)

今天的日期 (必需)

性别 (必需)
女男性

COA研究项目 (必需)

街道地址 (必需)

城市 (必需)

状态 (必需)

邮政编码 (必需)

电子邮件 (必需)

电话 (必需)

以前的资金

Have you received 终点线补助金 funding before? (必需)
是的No

如果是，是哪个学期?
春天夏天秋天

哪一年?

部分B

Have you registered with NC Works? 如果不是这样, please visit NC Works to register. (必需)
是的No

部分C

Please select the category of your need (必需):
汽车维修书籍和学习用品孩子/依赖护理住房/租金互联网Medical/dental/vision care (student or dependent child)Technology 租金al — the rental agreement must be signed and will require documentation from the instructor establishing need运输学杂费公用事业公司其他

终点线补助金s were created to assist individuals with unforeseen emergency situations that could interfere with a student's ability to complete his/her training. Please explain the emergency/unforeseen hardship and how that emergency has impacted your ability to continue with your training. 例如, you may detail how a recent job loss impacts your ability to pay for your month's rent. Please be as detailed as possible. (必需)

段D

Amount requested (up to $1,000) (必需)

You'll be asked to submit documentation/proof of your financial emergency upon submission of this application. A representative from COA will request this once this application is received. 例如, if you're requesting utilities assistance, an overdue notice is an example of documentation. If you're requesting assistance with a rental payment, a copy of your 租赁协议 is an example of documentation. If you're requesting transportation/gas assistance, a copy of your course schedule is an example of documentation. If a student is requesting technology assistance, a statement of need from the student and the student's instructors (instructors may email (电子邮件保护)). Students are encouraged to have this information ready so that their emergency situation can be dealt with in the quickest manner possible.

Provide your family’s household gross income for the past six months. This includes the gross income for members of the house in which you currently reside and this doesn't affect your eligibility for 终点线补助金 funding. (必需)

I attest that the funding being requested through the 终点线补助金 isn't being covered by another source (ex: Department of Social Services) and that the unforeseen expense won't be a chronic financial problem as the Finish Line Funds aren't to be used as a consistent source of remedial funding. (必需)