Check this box if you have exceptional need – such that ...

Alaska Pacific University Application for Emergency Coronavirus Relief Grant

American Rescue Plan Act of 2021 (ARP)

Fall 2021 Semester Application Deadline: October 1, 2021

Last 4 Digits of SSN Student Name: ________________________________ or APU ID Number: ____________________________

APU Email Address: _________________________________ Phone Number: _________________________

Eligibility Applicant must be: ? An enrolled student at Alaska Pacific University on or after March 13, 2020, the date of declaration of the

national emergency due to the coronavirus. ? In need of covering expenses for any component of the student's cost of attendance or for emergency costs

that arise due to coronavirus, such as tuition, food, housing, health care (including mental health care), or child care, prioritizing students with exceptional need. ? Fall 2021 undergraduate student Pell Grant recipients will automatically be awarded an emergency financial aid grant without the need to submit this application and will be considered to have exceptional need.

Check this box if you have exceptional need? such that you have low income, experienced job loss, or otherwise have limited resources to pay for college.

Award of Funds Funds will be awarded by check only to the student applicant stated above. Award amount will be based on grant funds available and the number of applications received. Fall 2021 undergraduate student Pell Grant recipients will automatically be awarded an emergency financial aid grant without the need to submit this application and will be considered to have exceptional need.

Check this box to use the financial aid grant to pay your APU account balance.

You must verify the address(es) you have on file with APU. Go to the student web portal (myAPU > student web portal > my address). To update the address(es), send an email from your APU student email account to regoff@alaskapacific.edu with the updated address(es).

Deadline October 1, 2021, 11:59pm (AKDT). Email completed forms to finaid@alaskapacific.edu. Applications received after the deadline will not be accepted.

Certification and Signature I attest under the penalty of perjury that I meet the eligibility requirements and will comply with the use requirements above to receive Federal ARP funds.

Student's Signature: ________________________________________________ Date: ___________________

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