Application for emergency grant funds

"*" all fields required



should begin with a 1 or 2








Please indicate the amount requested for each type. 

$

$

$

$

$

$

$

$

$

$

$

$

- Be specific and provide details that will help us understand your situation so that we can make a decision.






By submitting this application, I commit to using the SEAG and/or SSEH funds for the purpose I stated above. I agree to allow Bellevue College staff and/or staff from the State Board for Community and Technical Colleges (SBCTC) to contact me to follow up on my progress after this application is submitted. I verify that all information I provided in this application is true and can be verified.