Coronavirus Aid, Relief, and Economic Security Act CARESII Grant Application Please review the requirements before applying. Section A: Student Information / Enrollment StatusStudent Name* First Last Student ID*Student Email* Phone*Enrolled for Spring 2021 semester:*YesNoNumber of credits:*2020-21 FAFSA Completed:*YesNoPell Grant eligible:*YesNoIf no: Explanation of financial hardship:*Are you an EOF student?*YesNoAre you a SSS TRiO student?*YesNoSection B: Hardships or Incurred Expenses / Please check all categories that are applicable:Select all that apply*I affirm that due to the disruption of normal campus operations related to the COVID-19 virus I have incurred additional expenses or had financial hardships and am in need of emergency grants funds. Current tuition & fees Housing Child care expenses Technology Needs Prior balance during impacted period Food Medical expenses Books and course supplies Section C: Confirmation / Please initial each statements below* REQUIRED Check All* I understand that all requests for assistance from students will be evaluated based on the responses provided above and a review of other relevant information. Grants will be processed and awarded on a first-come-first-serve system until all cash that is allocated in this fund is fully disbursed. * I understand that the funds from the CRRSSA grant will be fully disbursed directly to me unless I complete the affirmation of paying an outstanding balance form. If I have any unresolved balances with Camden County College, I will still owe that balance to the college, and, it could prevent me from registering for upcoming terms. * I attest that all the information submitted on this application is true and accurate. I further acknowledge that if I intentionally provided false information that leads to me receiving CRRSSA grants funds that I am not entitled to I may be asked to repay those funds to Camden County College. Consent* I agree that informationSignatureCAPTCHAEmailThis field is for validation purposes and should be left unchanged.