Fulbright College Dean's Emergency Retention Fund This emergency fund is intended to provide primarily immediate, one-time stopgap funding to help retain undergraduate students who would otherwise be unable to continue their education. Preference will be given to those who are close to but would otherwise not be able to graduate because of extreme financial hardship. This form is intended to help the college identify, prioritize needs and fund students as available funding allows, which will also help us be able to respond to students’ individual emergency needs as quickly as possible. Expenses Covered by the Emergency Fund Examples of emergencies to be considered include, but are not limited to: Books and other essential academic expenses Overdue utility bills reaching a turn-off notice Unexpected bills that would inhibit graduation Tuition holds and fees that are impeding enrollment Expenses Not Covered by the Emergency Fund Health insurance and study abroad costs Non-essential personal bills Parking tickets, library fines, or other expenses mistakenly incurred Funds for the replacement of lost or stolen items More than one emergency request within a 6 month period Last Name Required First Name Required Email Required Student ID Number Required Hometown Required Current Address Required Major Required Total number of hours in which you are currently enrolled Required Expected graduation date Required Fall 2020 Spring 2021 Summer 2021 Fall 2021 Spring 2022 Summer 2022 Fall 2022 Spring 2023 Summer 2023 Fall 2023 Spring 2024 Summer 2024 Fall 2024 Amount of request Required Please Note: Awards from this fund do not typically exceed $750. Should your request exceed this, please still continue filling out this form, providing as much detailed information as possible below. Provide a brief description of why you need emergency assistance. Required Please Note: This fund is intended primarily for immediate, one-time stopgap use. If your need extends past the current semester, please include details in the description above or attach supporting documentation below. Please provide reference or recommendation from someone who could speak to your character and current situation. (examples: faculty member, director supervisor, University of Arkansas staff member, youth leader, mentor) Required Normal turnaround time is 4-6 weeks. Do you need funds sooner? Yes No Funding Date When do you need the funds? Have you currently applied for and/or been awarded other campus emergency funds? Yes No Alt Funding Amount List the funds and amounts below Attach any supporting documentation Drop files here or click to upload. Choose a file… Please submit any documentation supporting your request. For example, if you are requesting funds for books and supplies, an itemized list needs to be attached. If your requesting funds for a bill, then the bill needs to be attached. Any documentation that is not attached to this application, will be requested before a decision is made regarding your funds.