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OSUIT Emergency Aid Funds
The form input page for the Emergency Aid Initiative on OSUIT campus is designed to collect essential information from current students who require financial assistance to complete their degree. By filling out this form, you will be providing us with the necessary details to assess your eligibility for the fund and determine the amount of aid that you may receive. Our goal is to ensure that all students have access to the resources they need to achieve their educational goals. Thank you for your interest in the Emergency Aid Initiative, and we look forward to reviewing your application.
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Required
*
Student Detail (Required for application consideration)
First Name
Last Name
Student ID
(For example, A12345678)
Campus Email Address
Personal Email Address
Did someone refer you to the OSUIT Emergency Aid Fund?
Did someone refer you to the OSUIT Emergency Aid Fund?
Yes
No
Who at OSUIT referred you?
Student
Faculty Member
Advisor
Financial Aid Advisor
Counselor
Tutor
Staff Member
Have you ever applied for Emergency Aid from OSUIT before?
Have you ever applied for Emergency Aid from OSUIT before?
Yes
No
Were you awarded funds?
Were you awarded funds?
Yes
No
Demographic Information
Marital Status
Single
Married
Separated
Divorced
Widowed
Dependents under the age of 18 at home
Dependents under the age of 18 at home
Yes
No
How many dependents under the age of 18 at home?
1
2
3
4
5
Greater than 5
Dependents over the age of 55 at home
Dependents over the age of 55 at home
Yes
No
How many dependents over the age of 55 at home?
1
2
3
4
5
Greater than 5
Number of people living in your household
1
2-4
5-7
8+
Living location relative to campus
Live on-campus
Live off-campus within 15 miles
Live off-campus within 25 miles
Live off-campus within 35 miles
Live off-campus within 45+ miles
Lives-off campus; Do you take most of your classes in-person or online?
In-person
Online
Employment Status
Unemployed
Part-Time Off-Campus
Part-time On-Campus
Full-Time
Employment Part-Time Off-Campus; How many hours per week?
1-5
5-20
20-30
30plus
Employment Part-Time On-Campus; How many hours per week?
1-5
5-20
20-30
30plus
Employment Full-Time; How many hours per week?
1-5
5-20
20-30
30plus
Yearly household income
a. Less than $15,00 *Below federal minimum wage for full-time yearly pay
b. $15,000-$19,999
c. $20,000-$24,999
d. $25,000-$29,999
e. $30,000-$34,999
f. $35,000-$39,999
g. $40,000-$44,999
h. $45,000-$49,999
i. $50,000-$54,999
j. $55,000-$59,999
k. $60,000-$64,999
l. $65,000-$69,999
m. $70,000-$74,999 **US Median Household income 2021
n. $75,000+
Explanation of Need
Please clearly explain the financial challenges or obstacles that will prevent you from re-enrolling next semester and/or completing your degree. (
A minimum 50 word explanation is required.
)
Are you receiving additional financial support from your family or others to help you overcome these obstacles?
Are you receiving additional financial support from your family or others to help you overcome these obstacles?
Yes
No
Do you owe the OSUIT Bursar Office fees?
Do you owe the OSUIT Bursar Office fees?
Yes
No
How much?
Do you have additional financial needs in addition to your Bursar bill? (Ex; childcare, rent, transportation)
Do you have additional financial needs in addition to your Bursar bill? (Ex; childcare, rent, transportation)
Yes
No
Additional financial needs in addition to your Bursar bill
Additional financial needs in addition to your Bursar bill
Transportation
Childcare
Rent
Food
Utilities
Medical
Other
Other Expense
Have you utilized OSUIT resources (Ex; Pete’s Pantry)?
Have you utilized OSUIT resources (Ex; Pete’s Pantry)?
Yes
No
How often in the past year?
1-5
5-10
10-15
15 plus
Have you completed the FAFSA?
Have you completed the FAFSA?
Yes
No
Financial Aid Consent Question (required)
Financial Aid Consent Question (required)
I authorize the OSUIT Financial Aid Office to share my financial aid information with the EAF committee members for the purpose of grant award consideration.
Submit
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