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Please make sure to read the first page in full before moving forward. There are items listed that are not covered, and do not qualify as an emergency.

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Are you a FESP, Men's Success, Re-Entry, AMPLFY or AJLA Student? (Select one, or select no if you are unsure.) (*)
Are you a FESP, Men's Success, Re-Entry, AMPLFY or AJLA Student? (Select one, or select no if you are unsure.)

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Did you apply for emergency assistance before?(*)
Did you apply for emergency assistance before?
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If you have received this Emergency assistance before, was it within 365 days for todays date? IF YES: You are currently not eligible to apply. IF NO: Please proceed with this application.

You are required to be registered at Housatonic, Housatonic must be your home campus, be in good academic standing, and presently in a current class at Housatonic. If not, apply when you are presently attending a current class at Housatonic, otherwise contact your college’s Foundation for assistance.

I am currently in class at Housatonic. You are required to have Housatonic as your home school..(*)
I am currently in class at Housatonic. You are required to have Housatonic as your home school..
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Housatonic Foundation is required to apply Emergency Tuition Assistance toward the balance of current or the semester that just finished at Housatonic only. *Upcoming classes and balances from prior academic years are not considered an urgent emergency.

What semester do you need Emergency Assistance with?(*)
What semester do you need Emergency Assistance with?
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Contact Information

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Type of Assistance

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Tell us about your studies.

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How have you been paying for college?

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Did you submit a FAFSA form through Housatonic Financial Aid Office?(*)
Did you submit a FAFSA form through Housatonic Financial Aid Office?
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Students requesting emergency Housatonic tuition assistance need to apply for Housatonic Foundation Scholarships before classes start.

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If you are requesting emergency assistance for tuition, moving forward you are required to apply for the Housatonic Foundation scholarship instead.

Explain Your Emergency In Detail

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All students should utilize the Career Services at Housatonic./p>

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You are required to upload your bill or invoice for the business that needs to be paid.
Please review the first page for items that may not be covered. Checks are never written students for any emergency assistance, and I understand that.: Yes or No 

What am I required to upload? 
You are required to upload your current outstanding bill & current HCC Schedule.
Your mailing details need to match what the college has on file. 

What are we required to see on a current bill?
your name on the bill
your address on the bill
your billing account number
The current billing due date (month, day, year)
The full amount due on the current bill
The Company billing you.
The Company address where you send your bill. 

We required to see the company billing you, such as:
HOUSATONIC
Follett Bookstore
Your utility Company
Your Doctor
Your child’s Daycare
Your landlord
Your mechanic, etc

I understand checks are never written directly to students, and the Foundation does NOT pay credit card bills.(*)
I understand checks are never written directly to students, and the Foundation does NOT pay credit card bills.
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STEPS: Log In (ctstate.edu) Home /Student Self Service / access Degree Works / Screen will say "Program Audit" / GO TO the TOP RIGHT of the internet screen / CLICK the Options or three dots (...) / CLICK PRINT / PRINT AS PDF, Save the file and Upload High school students may upload a PDF of their HS transcript.

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Upload Your Outstanding Bill You need help with - PDF preferred Finding your College Bill: In a separate tab, login to (ctstate.edu) Home / Student Self Service / Access your Student account / Pull up your electronic bill Creating a PDF of ANY online Bill: GO TO the TOP RIGHT of the internet screen / CLICK the Options or three dots (...) / CLICK PRINT / PRINT AS PDF, Save the file and Upload

To be considered, I understand & certify:

I UNDERSTAND: that falsifying or withholding relevant information may violate the Housatonic Student Code of Conduct I CERTIFY: I am a current HOUSATONIC student presently taking classes at HOUSATONIC, in good academic and financial standing at HOUSATONIC. I CONFIRM: I answered all questions above honestly and all the information I provided throughout this application is truthful (*)(*)
I UNDERSTAND: that falsifying or withholding relevant information may violate the Housatonic Student Code of Conduct I CERTIFY: I am a current HOUSATONIC student presently taking classes at HOUSATONIC, in good academic and financial standing at HOUSATONIC. I CONFIRM: I answered all questions above honestly and all the information I provided throughout this application is truthful (*)
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