Emergency Grant Request Form

If you are experiencing an emergency situation that is a barrier to your education, complete this request to be considered for emergency funding. Limited funds are available. Grants are reviewed on the next available Tuesday and are limited to one per semester.

Grant Eligibility(Required)
My greatest need is (select one):(Required)

Computer Specs ⋄⋄⋄ Lenovo Thinkpad with: Windows 10 Pro, Microsoft Office Home & Student 2019, 12″ screen, 8 GB drive, 64 bit operating system x64 processor, touch screen

Name(Required)
Mailing Address(Required)
Have you completed a FAFSA for the current year?(Required)
Employment Status(Required)
Military Affiliation(Required)

Required Questions

Please answer the following questions to be considered for Emergency Grant Funding or a Computer upon availability.

I certify that all information given on this application and other documents is true and complete to the best of my knowledge. I authorize Palomar College Foundation to release academic and financial information to scholarship donor(s). The Palomar College Foundation may also use the information I have provided for publicity purposes.(Required)