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Fall 2022 HEERF SSARP Application
Fall 2022 HEERF SSARP Application
Name:
Student ID:

I certify that the following information is correct:

  • I am enrolled at Belmont College for the Fall 2022 Semester
  • I need financial support for one of the following items:
    • Tuition
    • Fees
    • Books and Supplies
    • Transportation
    • Personal Expenses
    • Housing Expenses
    • Emergency costs occurring due to the COVID-19 pandemic (these costs can include physical and mental health care and/or child care)
  • I understand the following conditions:
    • The amount of the Higher Education Emergency Relief Funds (HEERF) Supplemental Support under American Rescue Plan (SSARP) award amount may vary depending on Belmont College‚Äôs funding allocation.
    • The timing of the award is contingent upon when Belmont College receives the funds from the United States Department of Education.
    • While student need is prioritized, awards will be determined on a first-come, first-served basis.
    • Awards will be made as long as funding remains.

The HEERF SSARP grant will not be automatically applied to any current balance that you may owe to Belmont College. You have the option to authorize your HEERF SSARP Grant, if eligible, to be applied to your Belmont College student account balance. Please select if you would like to authorize your grant funds to be applied to your student account.

I authorize Belmont College to apply my HEERF SSARP grant to my Belmont College student account.
I DO NOT authorize Belmont College to apply my HEERF SSARP grant to my Belmont College student account.

Digital Signature:
Date:


Please complete the form before submitting. All fields are required.