AMG SCHOOL OF NURSING
COVID-19 CARE ACT GRANT APPLICATION
Eligible students should complete this form in its entirety.
Select the areas where you have experienced additional expenses due to the disruption caused by the COVID-19 outbreak. Check all that apply. *
Describe in detail your need for an emergency grant. Include the specific amount of additional expenses incurred due to the disruption due to the COVID-19. Please email all supporting documentation. *
*Check all that apply to you. *
The information provided in this application is true and accurate, and I understand that the falsification or withholding of information may result in a referral to the Student Code of Conduct process.
I understand that I may be required to furnish documentation in support of my request for an emergency grant, including but not limited to bills, receipts, estimates, invoices, records, etc.