High School Years - Application for Emergency Funds

Instructions

· The Scholar Emergency Fund provides critical and timely financial assistance to High School and College Scholars experiencing a crisis or transition.

· Funds should be used solely for the purposes of continuing education – tuition, books, housing, transportation, school fees, and other expenditures.

· The emergency fund is to be used as a last resort when other efforts such as self-funding and family funding have not succeeded in meeting financial needs, and the student's ongoing educational process is threatened or limited.

· All elements of the application MUST be filled out for consideration.

Note: Your academic standing and demonstration of steps that will be taken to achieve college affordability is a significant component of this application.

Part 1 - Personal Information

Name (First)

Name (Last)

Permanent Home Address and Contact Information

Street

City

State

Zip

Personal Email

Home Phone

Cell Phone (Personal)

Part 2- Emergency Funds Request

How much are you requesting in Emergency Funds?

What will these funds be used for?

What is the due date (if any) for this payment?

Part 3 - Financial Status

Do you currently have a job?

YESNO

If yes, what is the job and how much do you earn monthly?

If no, why not?

Please answer the following questions to help Evanston Scholars understand the need for the request:

How does this expense limit or threaten your ongoing educational progress?

Please describe why the paying of these expenses presents a financial hardship for you/your family:

Part 4 - Academic Standing

Academic performance greatly impacts college finances, Scholarships and grants are often tied to GPA.

Are you in good academic standing currently at ETHS?

YESNO

Are you currently on Evanston Scholars academic probation?

YESNO

Have you previously been on Evanston Scholars academic probation?

YESNO

If you answered yes to either of the above two questions, what does (or did) your academic improvement plan consist of? (you can attach here if easiest).

Do you feel your grades reflect your best effort to date? Why? Or why not?

Part 5: Future Financial Planning

What will you do in the next few months to make sure that you have enough money to cover your costs for the remainder of this academic year? For the remainder of high school? Once you get to college? (Be specific: What actions will you take, how will you take action, by when will you take specific actions) (Use another sheet of paper if necessary)

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