* Required

DePaul Cristo Rey Application for Graduate Success Micro-Grant

Attention: All applications that are not completely filled out and returned with supporting documentation will not be reviewed for a micro-grant. Please allow 2-3-week processing time of all micro-grant applications.

Name

Date of Request

Email Address

DPCR Graduation Year

Mobile Phone

Your Mailing Address

Student ID Number

Your College/University

***You must submit a copy of your college DAR’s (Degree Audit Report) or unofficial transcript with this form. (Request will not be considered without these documents).

Request for Funds: (Ordinarily there is a $500.00 grant maximum, exceptions may be considered). I am requesting funding for: (Attach copy of the bill, explanation of fees and all other supporting documentation).

Books

Food

Transporation

Bursar Bill Balance

Housing

Other (explain)

What is the total amount you owe?

Please list all financial aid you receive. Example: federal loans, Pell grants, names of scholarships.

What is your plan for funding the balance, in addition to DPCR assistance? Example: "My parents will take out a Parent Plus Loan and I work off-campus to fund my academic needs."

Are you currently employed? No/Yes, if so where?

Is your employment through Federal Work-Study?

How many hours do you work during the school year?

Do you plan to work this summer? How many hours?

In great detail, please describe the circumstances around this request for assistance?

Is a parent or family member assisting you with college costs? If so how much this year?

Total Amount of Request $

I understand that if I am approved for a microgrant, I will be required to participate in alumni panels, Champions of Change, or donate my time to other DPCR events within the semester that I receive the funds.

If approved, name of institution check should be made payable to? (Checks will only be made to the college/university unless there is a special circumstance).

Must provide college address:

Please send a confirmation email to the address below: