Student Emergency Financial Aid Grant Step 1 of 8 12% Have you filed a Free Application for Federal Student Aid (FAFSA)*NoYesIn accordance with guidance published by the U.S. Department of Education, student grants will be distributed only to students who are Title IV eligible. Were you actively enrolled at MTI on May 1, 2020?*No, I enrolled after May 1, 2020YesAn eligible currently enrolled student includes any student that has not been withdrawn, to include students progressing via temporary distance education. Students who are on an approved Leave of Absence due to issues related to COVID-19 that began on or after May 1, 2020 are considered actively enrolled and are eligible to receive the $250.00 grant. McDougle Technical Institute will distribute $250.00 emergency financial aid grants from the Grant Fund to all eligible students who were actively enrolled as of May 1, 2020. Additional need-based grant funds will be awarded to those students who demonstrate current financial need.Students who enroll after April 1, 2020 are not entitled to the initial $250.00 grant award described above but may apply for the emergency need-based grant.Do you want to apply for the additional emergency need-based grant?*YesNoThe maximum amount of any additional emergency need-based grant shall not exceed $1,500.00, to be disbursed in $250.00 monthly payments only while the student is actively enrolled and eligible. There is no minimum dollar amount. The committee will consider the information to be provided on the student’s grant application as well as information already on record with the Institute such as the student’s dependency status, family size, expected family contribution, unmet financial need, program length, satisfactory academic progress, and expected completion date. Student Name* First Last Current Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* DateI would like to receive my grant check (choose one):* Mail to my Current Address Above Pick Up at Institute Student Emergency Financial Aid Grant Attestation* I accept the grant award provided to me from funding made available to McDougle Technical Institute under the CARES Act.I certify the following: All information provided in this Attestation is true and correct to the best of my knowledge. I am eligible for Title IV Federal Financial Aid. I understand that any money awarded from this grant is to be used for expenses related to the disruption of campus operations due to coronavirus. These expenses include eligible expenses under a student’s cost of attendance in the calculation of Federal Financial Aid, such as food, housing, course materials, technology, health care, and childcare. The money I am receiving is intended to cover my expenses related to the disruption of campus operations. I understand that if I choose to have my grant check mailed to me it will be mailed to the address listed above. I will immediately notify the Institute if at any time my address changes. I further understand that if the Institute is unable to locate me and/or distribute any part of my grant award after making reasonable efforts that I will forfeit such funds and that the Institute may use those funds to make additional grants to other students. Emergency Financial Aid Grant ApplicationHave you incurred expenses due to disruptions caused by the Coronavirus Pandemic?*YesNoCheck all situations that apply to you. I am financially responsible for my food expenses I am financially responsible for my housing expenses I am financially responsible for expenses related to my course materials to attend school I am financially responsible for paying for technologies associated with attending online classes I am financially responsible for my own health care costs I have children and am financially responsible for childcare expenses Emergency Financial Aid Grant Application Attestation* I attest that all information is true and accurate, and I am requesting a one-time emergency need-based financial aid grant to help cover the cost of expenses incurred due to the Coronavirus pandemic. I understand that I will be unable to revise this request after submitting it. I understand that the Institute’s determination of my eligibility for and the amount of any grant monies will be based on my responses to the questions above as well as information already on record with the Institute, including but not limited to my dependency status, family size, expected family contribution, unmet financial need, program length, satisfactory academic progress, and expected completion date. Student Signature*DatePDF Preview Emergency Relief GrantApprovedDeniedAwardsa one time emergency financial aid grant check in the amount of $250.00a maximum need-based grant in the amount of $250.00a one time emergency financial aid grant check in the amount of $250.00 and a maximum need-based grant in the amount of $250.00a maximum need-based grant in the amount of $500.00 paid in (2) $250.00 monthly paymentsa one time emergency financial aid grant check in the amount of $250.00 and a maximum need-based grant in the amount of $500.00 paid in (2) $250.00 monthly paymentsa maximum need-based grant in the amount of $750.00 paid in (3) $250.00 monthly paymentsa one time emergency financial aid grant check in the amount of $250.00 and a maximum need-based grant in the amount of $750.00 paid in (3) $250.00 monthly paymentsa maximum need-based grant in the amount of $1,000.00 paid in (4) $250.00 monthly paymentsa one time emergency financial aid grant check in the amount of $250.00 and a maximum need-based grant in the amount of $1,000.00 paid in (4) $250.00 monthly paymentsa maximum need-based grant in the amount of $1,250.00 paid in (5) $250.00 monthly paymentsa one time emergency financial aid grant check in the amount of $250.00 and a maximum need-based grant in the amount of $1,250.00 paid in (5) $250.00 monthly paymentsa maximum need-based grant in the amount of $1,500.00 paid in (6) $250.00 monthly paymentsa one time emergency financial aid grant check in the amount of $250.00 and a maximum need-based grant in the amount of $1,500.00 paid in (6) $250.00 monthly payments adminCARES Act Student Emergency Financial Aid Grant Application and Attestation06.11.2020
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