Collaborative Student Grant / Scholarship Application

As a degree-seeking student in a semester-based collaborative program, you are eligible to apply for a UW Extended Campus grant or scholarship. Eligibility requirements vary based on the grant or scholarship. Please note that applying for a grant or scholarship does not guarantee you will receive one. Grants and scholarships do not need to be paid back and are available as funding allows.

Who can apply for collaborative grants and scholarships?

The applicant must be currently enrolled as a degree-seeking student in a semester-based collaborative program OR be someone who withdrew from their semester-based collaborative program and wish to enroll again but cannot due to a balance owed to the university.

While we will assist you as best we can, please connect with your home institution to see what additional resources are available.

Name*

First Last

Home Campus*

Home Campus Email*

Amount Requested*

Select from the options below the situation that best applies to you.*

I am currently enrolled, and I need assistance in paying my campus balance. (The amount requested cannot be greater than campus balance.)

I want to enroll, but I owe a balance to the university and need help paying it. (The amount requested cannot be greater than campus balance.)

I need to purchase a new laptop or technology so that I can continue my studies.

I have an emergency that I need funds for.

The Technology Purchase Program is available to students who need to purchase a laptop or other forms of technology (i.e. webcam) to be successful in their program. Students must be enrolled as a degree-seeking student in a semester-based collaborative program, have already accepted their Federal Direct Subsidized Loan, and have unmet need that is more than or equal to their request.

Students must initially provide documentation (a screenshot or image with price included) of the technology in which they are interested in purchasing so that an amount up to $1,250 can be added to the student’s financial aid offer.
- Please go here to discover student discounts for technology.
Utilizing the refund of the funds, students will then purchase their technology. Applicants must provide a receipt of their purchase within 14 days to the Financial Aid Office.
A student can receive funds from the Technology Purchase Program only once in their UW Extended Campus career.

Please provide documentation of the technology (laptop, computer, etc.) you wish to purchase, such as a screenshot.*

Drop files here or

Accepted file types: doc, docx, pdf, jpeg, jpg, pdf, png, tif, tiff, Max. file size: 5 MB.

The UWEX Emergency Grant is available to currently enrolled students in a Collaborative Program who are unable to meet immediate, essential expenses due to temporary hardships related to an emergency. Applications and required documentation submitted will be reviewed for eligibility. Maximum eligibility for the grant is $1,000 and the amount is contingent on available funding. UWEX Emergency Grant funds are disbursed directly to students and are refunded via home campus processes. UWEX Emergency Grant funds disbursed to students do not need to be repaid. All possible resources, including eligible financial aid, have been considered and are either unavailable or insufficient.

Have you received an emergency grant from your home campus during this term?*

Yes

Please explain in detail the reason for the request and a description of how the funds will be used.*

Describe the impact of the unexpected expenses on your ability to remain enrolled.*

Documentation may include medical bills, utility bills, police reports or other court records, repair estimates, travel related documents, or other receipts/invoices. Receipts, bills, and invoices must be within 45 days from the date of this application submission and be on business letterhead. Additional documentation may be required upon review. Accepted file types include: .doc, .docx, .pdf, .jpeg, .jpg, .pdf, .png, .tif, .tiff*

Drop files here or

Accepted file types: doc, docx, pdf, jpeg, jpg, pdf, png, tif, tiff, Max. file size: 5 MB.

Student Consent & Release of Information*

The information I have provided on this application is accurate and complete to the best of my knowledge. By signing this application, I am granting permission for my home institution or my prospective institution to share my information, including but not exclusive to FAFSA and financial aid information, academic information, and billing information, to UW Extended Campus.

Signature*

This field is for validation purposes and should be left unchanged.

Collaborative Student Grant / Scholarship Application

Have questions? Contact an enrollment adviser at:

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