Capri — HEERF II Share Grant Application and Certification : Group 3

Group 3: HEERF II Share Grant Application & Certification (1)

This Application is for a student without a PELL GRANT and can demonstrate EXCEPTIONAL NEED. By completing this online application the student identified is applying for a grant from the Higher Education Emergency Relief Fund II ("HEERF II") under the Coronavirus Response and Relief Supplemental Appropriations Act ("CRRSAA").

Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Last 4 digits of your Social Security Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Capri Student ID*
What emergency expense do you currently have related to the COVID-19 Pandemic such as tuition, food, housing, health care (including mental health care) or child care.*

Your answers are confidential and will help the HEERF II Grant Committee understands your exceptional need and related expense. Documentation is required and you must have a 2020-2021 Free Application for Federal Student Aid (FAFSA) on file with the Financial Aid Office.
How will this Grant help you get through this emergency?*
What is the Monetary value of the above emergency expenses?*
Supporting Documentation of Emergency Expenses (Required)
Drop files here or

Max. file size: 128 MB.
Application & Certification
I certify that I am an Eligible Student and am submitting this application to request a HEERF II Student Share Grant under CRRSAA. I Certify the following: * I have read the College's HEERF II Student Share Grant Policy. * I will use the HEERF II Student Share Grant Funds for the component of my cost of attendance or for emergency costs that arise due to coronavirus, such as tuition, food, housing, health car (including mental health care) or child care, ("HEERF II Student Share Eligible Expenses"). *I understand that CRRSAA requires that the College prioritize Students with Exceptional Need when making HEERF II Student Share Grant awards. Depending on available grant funds, I may or may not be awarded HEERF II Student Share Grant Funds.
Date Submitted*
MM slash DD slash YYYY
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Name
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