Financial Crisis Response Team Application

Applicant Information

First Name

Last Name

Phone

Email

Student ID number

Major

Are you currently a:

Resident StudentCommuter Student Living on Your OwnCommuter Student Living with Family

Employment History

Employer

Weekly Hours Worked

Hourly Wage

Dates of Employment

Other Sources of Income

Are you unemployed?

YesNo

Financial Assistance

Please estimate the amount of financial assistance that you are in need of:

Would you like to speak with a member of the Dean of Students staff for additional support

YesNo

Please describe the financial emergency that you are facing, including how this emergency may impact your enrollment at Framingham State University.

I understand that I must accept all of the financial aid that has been offered to me before being awarded emergency grant funding, unless I request and am granted an exception to this requirement. By submitting this application, I authorize Framingham State University to share my financial aid and GPA information with the members of the Financial Crisis Response Team, members of the funding committee of the Alumni Association, and/or the funding committee of the Independent Association of Framingham State Alumni to the extent necessary and allowable under the Family Educational Rights and Privacy Act (FERPA), in order for them to review my application for funding. If I have a FAFSA on file, I understand and authorize the University to share this information with these groups for the sole purpose of the review of my application for funding *

Signature

Date

Contact Information