Cares Grant Application

Section A: Student Information / Enrollment Status
Student Name*
First Last
Student ID*
Student Email*
Phone*
Enrolled for Spring 2022 semester:*
- Yes
- No
Number of credits:*
Are you an International or Undocumented Student:*
- Yes
- No
2020-21 or 2021-22 FAFSA Completed:*
- Yes
- No
Pell Grant eligible:*
- Yes
- No
If no: Explanation of financial hardship:*
Are you an EOF student?*
- Yes
- No
Are you a SSS TRiO student?*
- Yes
- No
Section 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 American Rescue Plan 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 American Rescue Plan grants funds that I am not entitled to I may be asked to repay those funds to Camden County College.
Hidden
Consent*
I agree that information
Signature
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Camden County College

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Workforce Training & Continuing Education

Coronavirus Aid, Relief, and Economic Security Act

CARES III Grant Application

Section A: Student Information / Enrollment Status

Section B: Hardships or Incurred Expenses / Please check all categories that are applicable:

Section C: Confirmation / Please initial each statements below