Financial Aid Intake Form

Financial Referral Center Intake Form

Completing the following information will allow us to assist in finding what possible resources you might be eligible for. Please note that funding resources are limited and all funds that you may be eligible for may not be available at all times during the year.

All information will be kept confidential.

Your Information

Required Fields


Questionnaire
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(A person who has been in the home 10 or more years performing unpaid labor, and due to divorce, death, disability, or unemployment of the spouse, suddenly becomes head-of-household needing to earn paid employment.)
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Required Fields

(Required) I authorize staff at Everett Community College to share records or data pertinent to my receiving Financial Assistance with other Everett Community College campus offices.

Everett Community College does not discriminate on the basis of race, religion, creed, color, national origin, age, sex, marital status, disability, or veteran status.