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GSA Emergency Grant Application

Dear Graduate Student,
In order to apply for a GSA Emergency Relief Grant, you will need to fill out the form below. Following your submission, the GSA Emergency Relief Grant Committee will review your application and inform you of a decision as soon as possible. Please note that, in most cases, the committee will contact you to request supporting documentation before a decision is made. 
This committee may include staff from Student Life, Student Health, Counseling and Psychological Services, Graduate Division, Office of International Students and Scholars, Office of Financial Aid and Scholarships, as well as graduate student representatives. If you have concerns about sharing personally sensitive information with graduate student members of this committee or any questions about the process, please contact committee member and Graduate Academic Counselor, Ryan Sims, with your concerns at 805-893-2068.

Please complete all the sections below.  We are unable to process incomplete applications.

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