SGA Emergency Fund Application

Name

GT ID

Georgia Tech Email

Address Information (Street Address, City, Suite #, Zipcode) (for mailing check)

Have you applied to the SGA Emergency Fund during this academic year (2024-2025)?

Yes
No

Which categories do your expenses fall under?

Electronic repairs or expenses
Housing and utilities
Food and groceries
Medical expenses
Emergency travel and transportation expenses
Essential personal items
Uninsured losses
Academic supplies
Other

Amount Requested

0
50
100
150
200
250
300
350
400
450
500

Click to write Choice 1

Line Items (links are appreciated, but a general description is sufficient)

Please provide reasoning behind your funding request. This includes a description of the "emergency" that necessitated the unexpected expense and general information about the your financial situation. The more information provided, the easier it will be for the committee to reach a decision.

What date is the funding requested by? (Note: the Student Needs committee reviews requests on Tuesday evening and if approved, you can expect funds by the end of the week. If this is an emergency needed in a shorter amount of time, please state that.)

What other GT resources have you explored prior to completing this application?