COVID-19 Emergency Fund Application

This form is an application for students who have been impacted by the closure of the Landmark College Campus, including your expenses such as food, housing, health care, course materials, technology, and child care.

Please be sure to read all eligibility requirements outlined on this page.

Funding is extremely limited. Completing this form does not guarantee funding availability.

If application is approved, funds received must be used toward expenses related to COVID-19.

Leave this field blank

COVID-19 Emergency Fund Application

First Name

Last Name

Email

Telephone

Were you enrolled in and completed the spring 2020 semester at Landmark College? YesNo

Have you or your parents lost a job or had a decrease in income due to COVID-19? YesNo

Please describe how you have been impacted by COVID-19.

Please include an explanation of how your expenses such as food, housing, course materials, technology, health care, or childcare expenses have been impacted by this disease. If you need more space or wish to submit supporting documentation, complete this form and use the email link on the confirmation page.

If funds are awarded, please: Process payments through my QuikPay accountMail me a check (enter mailing address below)

Mailing Address

Please supply your mailing address only if you want any awarded funds mailed to you.

By submitting this application, I understand that if I receive funds, the funds are to be used to cover expenses I have incurred related to COVID-19.

Submit