Student Emergency Assistance Grant (SEAG) Application

Preferred Pronouns

ctcLink ID(Required)

Phone(Required)

Email(Required)

Program of Study

How did you hear about Emergency Funding at GHC?

Select up to 2 categories that are impacting your success in class and enter the amount needed to resolve this.

Category 1(Required)

Category 1 Amount(Required)

Category 2

Category 2 Amount

Please explain the unexpected hardship that put you in an emergency situation and what you need financial assistance for.(Required)

How does this emergency impact your ability to complete this quarter of college? Do you foresee any factors OTHER than this emergency that may impact your ability to complete this quarter of college?

Other Programs/Resources(Required)

Other Campus Resources(Required)

Other Community Resources(Required)

Upload Supporting Documentation

Drop files here or

Max. file size: 5 MB.

Signature(Required)

By signing this document, I commit to using the student emergency assistance grant for its intended purposes, outlined in this application. I also agree to allow college staff to contact m to follow up on my progress after the application is submitted. I verify that all information provided in this application is true and verifiable.