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SMC|Administration & College Governance|Academic Senate|Academic Senate Committees|Student Relief Request Form

Student Relief Request Form


The Faculty Student Relief Fund was created by the SMC Academic Senate to assist students in meeting short-term, temporary financial obligations, which, if not ameliorated, would interfere with the student’s ability to continue his or her education at Santa Monica College. Please review the Fund guidelines before submitting the form below.

 

This form is to be submitted by SMC faculty and staff members only! Student submissions are not accepted.

 Fields marked with a * are required.

 

Student Relief Fund Online Request Form

 

 Student Relief Request Form

 
-----------Student Information----------











NOTE:All awards are required to be reported to Financial Aid as income.


Upload a supporting document (receipt, estimate, etc.): 
  
Upload a supporting document (receipt, estimate, etc.): 
  

-----------Referring Faculty/Staff Information-----------