U of A Cares Student Emergency Fund

Instructions

The Purpose of the U of A Cares Emergency Fund is to assist University of Arkansas students with short-term
emergencies. These funds are not intended to be used for routine expenses or as a consistent supplement.
Emergency situations could include, but are not limited to: death or serious illness of a parent, spouse or child, housing fire/ flood, or other extenuating circumstances. This fund cannot be used to provide tuition support.
ELIGIBILITY:
  • Currently enrolled as an undergraduate or graduate student
  • Be enrolled in at least half-time status (6 hrs Undergraduate, 3 hrs Graduate)
  • Have a minimum 2.0 GPA and be in good academic and conduct standing (Applications not meeting this requirement may still be considered)
Process:
  • Complete the following U of A Cares Student Emergency Fund Application
  • Fill out application completely
  • Submit statement of need
  • Submit supporting documentation
  • May be required to meet with U of A Cares Coordinator, Sarah Kaminski, and/or provide additional documentation pertaining to your request
  • Committee will review application and materials
  • Committee will make a decision and Coordinator for U of A Cares will notify student
***If the application is approved and student has received the maximum financial aid allowed, the student’s other aid (Pell grant, loans, etc.) may be reduced by the excess amount. Contact your financial aid counselor with any concerns or questions about your financial aid package prior to submitting your application.
Please send any questions to Sarah Kaminski at .
You may mail, email, fax, or drop off completed application to the Office of the Dean of Students:
Sarah Kaminski
325 Administration Building
1 University of Arkansas
Fayetteville, AR 72701
Phone: 479-575-5004
Fax: 479-575-7547
Email:
Note:Applications will be accepted throughout the year while funds remain available.

Applicant Name: / Student ID:
Last / First / MI
Local Address:
Street / City / State / Zip
Permanent Address:

StreetCityStateZip

UARK Email Address: / Phone Number:

Enrollment Classification:

Academic College: / Degree Seeking: / Number of hours completed:
Cumulative GPA: / Number of hours enrolled in current academic semester/ term:
Expected Graduation Date: / Number of semesters (including current) attended at the University of Arkansas-Fayetteville:
If you have received maximum in student loans, loan amount will be reduced by the emergency fund amount, if awarded. Comments?
☐ / Yes / ☐ / No

Are you employed?

If yes, please describe (on/off-campus, job type, location, etc.)
Student Monthly Income:
Spouse/Partner Monthly Income (or family contribution):
☐ / Yes / ☐ / No

Are you currently receiving Financial Aid/Scholarships?

If yes, please share which Financial Aid/Scholarships including amounts:

How many members in your household are you responsible for:

☐ / Yes / ☐ / No

Have you previously received monies from the U of A Cares Student Emergency Fund?

If yes, when and amount received:

Amount of money you are requesting from the U of A Cares Student Emergency Fund ($500 maximum):

What are the funds to be used for?

What are the circumstances that brought you to apply for the U of A Cares Student Emergency Fund?

What other types of assistance have you sought?

What will you do to cover such expenses in the future?

How will this award allow you to continue your education and help you achieve your goals?

Please share any other information you would like the committee to know regarding your application (250 words or less):

***In addition to answering the above questions please attach copies of documents that would support your need for

emergency funds. This can include rent statements, bills or other documents you feel will show your need.

By signing below, I agree: The information contained in this application is true to the best of my knowledge. I have exhausted all other means of financial support for this concern. The review committee and staff have my permission to inquire further into my need for financial assistance. By signing, I authorize staff at the University of Arkansas-Fayetteville to provide additional information regarding my current and previous academic record(s) and financial aid application and/or awards.
Click here to enter text.

How did you hear about the U of A Cares Student Emergency Fund?

If awarded, would you be able to pay money back towards the emergency fund?

Applications will be accepted throughout the year. Review process and release of approved funds may take several weeks.

Before submitting this application, be sure to save the document as a .pdf and print a copy for your records.

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