Non-Credit Student Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA) Grant Application Please provide the following information.* – Indicates a required field. Section A: Student Information / Enrollment StatusStudent Name* First Last Student ID* Student Email* Phone*Preferred Email Students enrolled in non-credit career training programs with a total value in excess of $1,000 may be eligible for funding if the below noted requirements are met. Any application not completed in its entirety with the required documentation noted, will not be considered for participation in this grant opportunity.Are you currently enrolled in a Continuing Education Career Training Program valued in excess of $1,000?* Yes No Which program are you currently registered in?* Are you currently employed?* Yes No Are you currently working full-time or part-time?* full-time part-time Have you been awarded any other form of tuition aid or discount (one-stop grant, NJ-GIVS grant, military discount, etc.)* Yes No In the space below please explain why you feel you should be considered for this need based (CRRSAA) funding opportunity. Need based, as defined for this application, indicates a household income of $60,000 or less per year or the registered student or supporting parent/guardian in the household is currently unemployed. Due to the need based nature of this grant, a previous year’s tax return or other verification of income must be submitted for consideration.*Upload last years tax return or verification of income* Drop files here or Select files Accepted file types: pdf, jpg, png, gif, Max. file size: 64 MB, Max. files: 4. All students who have not completed a FASFA (Free Application for Federal Student Aid) application in the past 3 months must verify citizenship prior to being considered for grant award. Please attach one of the following documents noted below to complete this application prior to submitting. Please note, documents must be current. Any applications submitted with expired documentation or which are incomplete will not be eligible for funding consideration: US Passport US Birth Certificate Certificate of Naturalization Certificate of Citizenship Confirmation of completed FASFA application Upload citizenship verification* Drop files here or Select files Accepted file types: pdf, doc, jpg, gif, png, Max. file size: 64 MB, Max. files: 2. Section B: Hardships or Incurred Expenses / Please check all categories that applyI affirm that due to the disruption of normal campus operations related to the COVID-19 virus I have incurred additional expenses or have financial hardships and am in need of emergency grants funds.* Current tuition & fees Housing Child care expenses Technology Needs Transportation Prior balance during impacted period Food Medical expenses Books and course supplies Section C: Confirmation / Please initial each statement below:Consent* I agree.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.Consent* I agree.I understand that the funds from the CRRSAA 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. The full policy regarding indebtedness to the College is available within the student handbook.Consent* I agree.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 CRRSAA grant funds to which I am unentitled; I may be asked to repay those funds to Camden County College.Signature*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.