Law Student Emergency Fund Application Law Student Emergency Fund Application Full Name Required Phone Required Email Required Sudent ID Required Address Required City Required State Required ZIP Code Required Currently enrolled as a Law Student Required Yes No What year are you? 1L 2L 3L Are you receiving financial aid this semester in the form of student loans? If so, what amount? Required Are you receiving financial aid this semester in the form of scholarship? If so, what amount? Required Have you received funds from the Law Student Emergency Fund in the past? If so, please list the date and amount. Required Have you received assistance from any other U of A student emergency fund? If so, please list the fund, date, and amount. Required Requested Amount Required Please explain your situation and how the Law Student Emergency Fund will assist you with your continued studies at the School of Law. Be specific with the amount and purpose of each expense. Required Attach Supporting Documentation Drop files here or click to upload. Choose a file… Attach supporting documentation, such as a copy of a bill or invoice. Would you be willing to share your story about how the Law Student Emergency Fund helped you? If so, you will be contacted by a member of the law school development team. No Yes Certification Required No Yes By submitting this form, I certify that the information I have provided is true and complete. I will notify the senior associate dean for students in writing immediately if after submission of this application there is any change in the information provided. I understand that falsifying or withholding information in this application may result in disciplinary action.