Student Connect

Finish Line -


Emergency Assistance Application

The Finish Line Grant program helps students complete their education when facing unforeseen challenges. To be eligible, students must have completed at least 50 percent of their credit or noncredit program and be in good academic standing. This grant provides a maximum of $1,000 in assistance per semester, for qualified expenses.
First Name:  
Last Name:  

Name you go by (if different from above):  

Durham Tech ID:  
         Don’t Have or Know participant ID Number
Please use your 7-digit Durham Tech Student ID number




Primary Address:
  










Rent
Car Repairs
Utility
Medical Expense
Tuition/Course Materials/Fees
Internet Service



Payments Requested  

What are you requesting support for? (Note: Finish Line Grants provide a maximum of $1,000 per semester for eligible expenses.)
# Purpose
What is the purpose of the payment?
Vendor
Who is the payment made to?
Amount Account Info
if applicable
Ex. Utilities - Natural Gas Dominion Energy 130.33 Acct #1234567891011
#1 $
#2 $
#3 $
#4 $


Signature

I certify that the information on this request for assistance is accurate to the best of my knowledge. I understand that my willful misstatement of the facts may cause my forfeiture of any assistance. I hereby approve the release of all information that is determined pertinent to my request, including but not limited to phone number, financial information, class schedules and grades, disability determination, and any other related information that would result in assistance with my request. I hereby acknowledge that this consent is voluntary.
Signature of Student/Participant
Please enter your full name and birthdate
12/8/2022 ]
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