Emergency Fund Application

Please complete each section of this form accurately. All fields are required. In addition:

  • A copy of this form will automatically be sent to the director of library & academic support services (Anne Heimann) and to a representative from student accounts (Beckie Humanik). Please note that follow up will be conducted with each student receiving funds.
  • Students may request emergency assistance during times of crisis, which may include but are not limited to the following: help paying for rent, utilities, car repairs, health and safety fees, medical bills that prevent them from paying for other daily essentials, temporary housing in cases of domestic violence, etc. Money may not be used to pay tuition and/or fees at Clarkson College or any other institution of higher education.
  • Students are not required to pay back funds they receive.

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