Highlander Student Emergency Fund Application

Thank you!

Your online application has been successfully submitted. Please submit any supporting documentation you may have separately to Ivon Nunez - Director, Student Financial Aid Services, Student Mall or via email to steve.harrel@njit.edu

Last Name/Family Name

First Name/Given Name

Middle

UCID

Social Security Number

Email

Local Address

Academic Program

Advisor

Degree

Expected Date of Graduation
Year:

Academic Term / Year You Are Requesting the Grant

Grant Amount Requested

Have you received Student Assistance for this term?

If Yes, please describe type and amount

How did you learn about the Highlander Student Emergency Fund?

Specify below (or attach an additional signed page) your emergency situation and the reason(s) you believe that your situation warrants the award of the grant amount requested. Please submit any supporting documentation you may have separately to Ivon Nunez - Director, Student Financial Aid Services, Student Mall or via email to steve.harrel@njit.edu

I verify that the above information is correct