UC Blue Ash Emergency Assistance Application

UC Blue Ash Emergency Assistance Application

This application is a request for emergency financial assistance for unforeseen circumstances impacting your ability to successfully continue your education. Emergencies could be situations such as: a temporary inability to pay tuition bill, a need for books and/or supplies to start or complete a term, an unforeseen expense outside of school responsibilities (rent, car repair, medical), or an unemployment or loss of income situation. If you feel you need some temporary relief in a financial crisis, complete the form below. Please allow 2 business days for processing and notification.
Student Name*

First NameLast Name
UCID/M#*
your ID should be exactly 9 characters and must include the M
Birthday*

MonthDayYear
Email Address*

Confirmation Emailexample@mail.uc.edu
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Phone (primary)*

Area CodePhone Number
Phone (secondary)

Area CodePhone Number
I have applied for Financial Aid.*

YesNo
I am a First Generation College Student.*

YesNo
Requested Amount*
Maximum $2000. We anticipate most scholarship awards will be in the $500-$1,000 range.
Circumstances for Emergency Assistance Request
Is your emergency need directly related to your current tuition bill with the University of Cincinnati?*

NoYes
Emergency funds are available to students who experience hardships while enrolled at UC Blue Ash College. In order to apply, you must be enrolled in at least one credit hour in the current semester. If your request for assistance is approved, UC Blue Ash will apply the approved amount directly to your student bill. Any awards will first be applied toward any outstanding bill balance before being refunded to students. Combined awards and aid cannot exceed the determined Cost of Attendance (COA.) We strongly recommend you sign up for direct deposit to ensure a safe and speedy delivery of these funds to you if your emergency is not bill related.
Please describe your emergency need in as much detail as possible*
Upload your supporting documentation (copy of bill, estimate for services, etc.)

Upload a File
Choose a file to upload Cancelof
OR copy and paste an image of the supporting documentation
Emergency Assistance Agreement Terms
I understand and agree to the following statements (choose all that apply)*

I am a UC Blue Ash College student enrolled in a certificate or degree-seeking program.I am enrolled in at least 1 credit hour for the current semester.I am a graduate of Cincinnati Public Schools.I have a cumulative GPA of 2.0 or greater.I have completed at least one (1) semester within the previous 12 months.I can and will provide a thank you letter for the donor upon request.I will notify UC Blue Ash College of any change in my address, phone number or email address.I understand my name, grant amount, grade point average, and the city and state in which I reside will be included in a year-end report.
In conjunction with UC Blue Ash Enrollment Services and Business Offices, I agree to the terms listed above.
Currently Enrolled
Cumulative GPA
Major
Current Outstanding Balance
Number of Terms Enrolled
Applied for Financial Aid
Estimated or Awarded Aid Amount
Estimated or Disbursed Refund
Previous Emergency Assistance
Committee Information

Decisions and Notes
Enrollment Services Representative
Foundation Representative
Business Office Representative
College Dean (only required for special circumstances or to cast a third vote)
Reason for Denial
Emergency Fund Name
Emergency Fund Award Amount
Term Award Received
Reason for Denial
Should be Empty:

UC Blue Ash Emergency Assistance Application

Circumstances for Emergency Assistance Request

Emergency Assistance Agreement Terms

Committee Information