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Student Application

Student Emergency Intervention and Wellness Program Application Form

* Indicates required fields

Please note that applications will be responded to by program staff 1 business day* after submission.

 

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Required Field Undergraduate Graduate

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Required Field Center for International Education (CIE)
Counseling and Psychological Services (CAPS)
College Assistance Migrant Program (CAMP)
Disabled Student Services (DSS)
Educational Opportunity Program (EOP)
Menís Success Initiative (MSI)
Student Support Services Program (SSSP/TRIO)
Other...

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I certify that I have read and meet the eligibility criteria and that all of the information submitted on this application is accurate and true.

Student Emergency Grant

Qualifications

Students who have been involved in an unforeseen emergency, crisis or catastrophic event may apply for the Student Emergency Grant. Qualifying examples include but are not limited to:

  • Car accident
  • Severe illness or hospitalization
  • Loss of fixed, regular and adequate housing
  • Significant uncovered medical expense(s) related to self, spouse or child

Eligibility Criteria

  • Be an enrolled and matriculated CSULB student
  • Be able to demonstrate an urgent financial need (supporting documentation is helpful where appropriate)