Student Emergency Fund

The Student Emergency Fund provides grants for SUNY Orange students to pay for urgent expenses triggered by unforeseen events that threaten their ability to stay in college.

Please note that not all students who apply will receive a grant and only completed applications will be considered.

If you have any questions or difficulty with the application, please email SEFund@sunyorange.edu.

Name Name * First Last
Student ID/A number *
Date of Birth *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
How many years, including this year, have you attended SUNY Orange? *
Enrollment status *

Enrollment status Full-time student (12+ credits) Part-time student (less than 12 credits)
How many credits have you earned to date? *
How many credits are you enrolled in this current semester? *
What is your cumulative grade point average (GPA)? *
What is your current employment status? *

What is your current employment status? Full time Part time Occasional/Seasonal Per Diem Not employed
Have you applied for a grant from the Student Emergency Fund before? *

Have you applied for a grant from the Student Emergency Fund before? Yes No
If yes, did you receive a grant from the Student Emergency Fund? *

If yes, did you receive a grant from the Student Emergency Fund? Yes No
Are you currently receiving or eligible to receive a Pell Grant? *

Are you currently receiving or eligible to receive a Pell Grant? Yes No Unsure
Are you currently receiving any other type of financial aid or scholarship? *

Are you currently receiving any other type of financial aid or scholarship? Yes No Unsure
How did you learn about the Student Emergency Fund? *

How did you learn about the Student Emergency Fund? Financial Aid Office Student Services Office Website Classmate Instructor/Advisor/Staff Member Other Other
Name of instructor, advisor, or staff member (if selected above)
Please select the category(ies) of your request. *

Please select the category(ies) of your request. Rent or Housing Bills or Utilities Medical/Dental Personal automotive expenses Other Other
Rent or Housing: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Medical/Dental: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Bills or Utilities: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Personal Automobile Expenses: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Transportation: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Childcare: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Clothing: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Furniture: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Other: Please enter the exact amount of assistance you need. You will be required to provide documentation (examples: bills, estimates, receipts) for verification purposes.

EXAMPLE: If you received a notice that your electricity will be shut off because you owe $297.63, enter 297.63. *
Statement of Need: Please explain your situation, providing as much detail as possible, and tell us why you are requesting emergency funding at this time. Your statement of need should clearly define your immediate and current emergency, and describe the life circumstances that have contributed to this situation.

Be sure to include:
What led up to this situation?
How will you use these funds?
What have you done to try to meet your current need?
What will you do if you do not receive this funding? *
Please attach supporting document(s). You may upload multiple documents if needed.

If you have any issues uploading documents, you may also email them to SEFund@sunyorange.edu.

We are unable to process requests without documentation.

Attach Files