Student Relief Funds
Complete this form if you are recommending a student, or if you are a student in need of emergency support to maintain enrollment and graduate from Cincinnati State. If you do not click Preview & Confirm or Save & Submit Later within 2 hours, your data will be lost.
Attention!
If you do not click Preview & Confirm or Save & Submit Later before the timer expires, your data will be lost.
Your Information
First Name
Middle Name
Last Name
Suffix
College ID
E-mail
note image Fields with * are required.
Student Relief Funds
 
 
 
 
 
Student Retention Focus Fund
 
 
 
 
 
 
General Student Relief Fund
 
 
 
Borrow Laptop and or Hotspot
 
 
COVID-19 Student Technology Loaner Program
 
Scholarship Opportunities
 
 
Financial Aid/Scholarships web page.
 
Your Role?
 
Student Information
 
Student Name
 
Student I.D. Number
 
Student Contact Phone Number
 
Student Mailing Address
 
Please explain your (the student’s) emergency financial need.