EmailMe Form - Covid Relief Fund Application-PPS Class of 2020

Name *

First Last

Date of Birth *

MM / DD / YYYY

Email *

Phone- Cell is preferred. *

### - ### - ####

Parent or Guardian Name

First Last

Parent or Guardian Phone Number

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

High School

Have you made a commitment to a post-secondary institution? *

Yes

No

If you have made a commitment to a post-secondary institution, list it below.

Have you completed and filed your FAFSA application? *

Yes

No

Have you completed and filed your PHEAA (Pennsylvania State Grant) application? *

Yes

No

Have you completed your SAT? *

Yes

No

Have you completed your ACT? *

Yes

No

Have you paid your tuition deposit? *

Yes

No

If not, do you anticipate challenges in paying your tuition deposit?

Yes

No

Have you paid your housing deposit? *

Yes

No

If not, do you anticipate challenges in paying your your housing deposit?

Yes

No

If you have not made a commitment to a post-secondary institution, what is your plan *

Provide detail to your answer above- which school, company, union, or branch of the military do you intend to join? If you answered other, provide some detail here. *

Are you getting enough food at this time? *

Yes

No

Sometimes

Are there any immediate and serious needs you are facing currently? *

How will support from the emergency fund help you finalize your plans for the fall of 2020? *