• COVID-19 Relief Scholarship Application Form

    • Student Information 
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    • Family Information 
    • Sibling 1 
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    • Sibling 2 
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    • Sibling 3 
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    • Sibling 5 
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    • Financial Information 
    • Primary Earning Member Information 
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    • Second Earning Member Information 
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    • Third Earning Member Information 
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    • Fourth Earning Member Information 
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    • Financial Impact Due to COVID-19 
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    • Household Expenses 
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    • Contact Information 
    • Primary Contact Person

      The following contact information will be used by the aid committee to contact you regarding supporting documents and a final decision. Please double-check to make sure the data you enter is correct.
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    • DISCLOSURE, WAIVER, AND AFFIRMATION

      By Submitting this form, I affirm to have read and understood the terms and conditions of the PEC Covid Relief Program. I give permission to PEC to disclose any information, including, but not limited to, my fee invoices and other necessary information requested by the my school for consideration to be part of the Covid Relief Fund program. I understand that the information disclosed herein this application shall only be accessible only to authorized persons who shall review this application. I affirm that the information provided herein are true and correct to the best of my knowledge. Any false representation to any of the information I have disclosed may be used against me and may cause my disqualification to the program.
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