University of Kansas Medical Center Emergency Aid Application

This applciation is intended for currently enrolled students at the University of Kansas Medical Ceenter who are experiencing an unexpected or unforseen expense due to circumstances beyond their control. Emergency funds are intended to assist a student in addressing an immediate, unexpected financial harship which might otherwise prevent them from continued particiation as a KUMC student.

Award
Varies
Deadline
Supplemental Questions
  1. What campus are you attending?
  2. What is your expected graduation date?
  3. What unexpected/unforeseen circumstances have led you to request emergency aid?
  4. What expense(s) are you requesting assistance for? (check all that apply)
  5. If you selected “Other” expenses, please specify:
  6. Total amount requested:
  7. What are your current sources of funding? (check all that apply)
  8. If you selected "other" sources, please specify:
  9. Did you recieve a refund from KUMC this semster?
  10. Are you currently employed?
  11. Food insecurity: Are you experiencing uncertainty over your next meal or limited access to food? Note: In Kansas City, the THRIVE pantry is available for all KUMC students.
  12. Housing insecurity: Are you experiencing difficulties acquiring/maintaining housing, financial strain related to housing, or living in unsafe/substandard conditions?
  13. Upload supporting documentation (if available).
  14. Who referred you to this application?
  15. (SOM applicants only) Have you previously received emergency funding from the Wichita Emergency Fund?
  16. I certify that all answers, information, and documentation provided are complete, true, and accurate to the best of my knowledge. I understand that any misrepresentation, falsification, or omission may result in my application being denied or having to return funds awarded.
  17. I understand that not all questions on the application are used to assess eligibility for aid. Some information is gathered solely for statistical purposes and is de-identified and aggregated before use. All available funding will be considered during the review of your application. Supplying detailed and specific information will support a complete evaluation.
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