RBHS Student Emergency Fund Request

First Name

Last Name

Current Street Address

Apartment Number (if applicable)

Current City, State and Zip Code

NetID

RBHS School and Degree Program

What are the conditions that have caused your need for emergency funding?

What types of aid have you already received for this term? (Examples include PELL grant, TAG, EOF, Direct Loan, Sub/Unsub Loan, etc.)

What amount of funding would assist you in the immediate timeframe? (Average awards are approximately $1000)

Please upload document(s) that demonstrate your need.

Please upload additional document(s) here.

What is the best way to contact you?