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Application for Emergency Assistance
For Employee SSN: The - symbol must be used between the groups of numbers. E.g. 111-11-1111. Error 1.1 would signify an invalid SSN or invalid formatting.
You will be notified of your Emergency Assistance application status by email and text message. Please verify that you have provided valid contact information. You will only receive communication concerning your application.
Reason for Support
Life Threatening Medical Crisis-Foundation Funds
Death of Immediate Family Member-Foundation Funds
Catastrophic Loss of Property-Foundation Funds
Non Life Threatening Medical Crisis-Campus Funds
Home Eviction-Campus Funds
Utilities Shut Off-Campus Funds
Car Payment or Repairs-Campus Funds
Other Circumstances-Campus Funds
$200 is the max for Campus Funds
$1000 is the max for Foundation Funds
Have you received an emergency assistance award within the last 12 months?
Please provide a detailed explanation for your request including details of
the cause(s) and effect(s) of your emergency.
Lack of detail, and documentation if requested by your Executive Director, will result in a decreased chance of your request being funded.
The Trilogy Foundation seeks to provide support to employees in times of catastrophic events. A committee will review all requests for assistance. Awards are determined on a case-by-case basis and the amount of your assistance may not equal the amount you have requested. Depending on the situation, you may be asked to provide documentation that supports the details of your emergency.
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