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Admissions
Financial Aid
Financial Resources
ULSD Student Emergency Fund Request
ULSD Student Emergency Fund Request
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Full name
*
Student ID number
*
UofL email address
*
Phone number
*
Description of the emergency/catastrophic event
*
Provide a detailed account of the situation and why you are in need of the emergency fund. In order to meet the criteria for Emergency Funds, an event or unforeseeable circumstance must have occurred.
Please explain how the funds will be used
*
Please explain the impact of these unexpected expenses on your ability to remain enrolled at UofL
*
Note: Priority will be given to students whose enrollment may be at risk as a result of these expenses.
Please describe efforts, if any, made to secure funds (in addition to this application)
*
Attach applicable supporting documentation
Attach applicable supporting documentation or information (utility bills, receipts, legal notices, rental/leasing agreements, medical bills/co-pays, etc.). Documentation needs to include identifying information (i.e. name, address, etc.) of the applicant.
Upload
Unlimited number of files can be uploaded to this field.
32 MB limit.
Allowed types: jpg, pdf, doc, docx, ppt, pptx, xls, xlsx.
Current financial aid status
*
Receiving financial aid
Not Receiving financial aid
Amount requested from the fund
−
+
Are you a single parent with a dependent child?
*
Yes
No
Have you received assistance from the Emergency Fund previously?
*
Yes
No
Do you have any unpaid balances on the University Account?
*
Yes
No
This question is for informational purposes only. Emergency funds are intended solely for immediate student needs and are not applied toward unpaid balances on University accounts.
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