North Carolina Community Colleges
Governor’s Emergency Education Relief (GEER)
2020-2021 Student Application
Instructions: Complete this application and return the completed application to the college’s Financial Aid Office or Workforce Continuing Education Department.
Full Name: _________________________________________________________________________
Home Address: _____________________________________________________________________
City, State, Zip Code: _________________________________________________________________
E-Mail Address: _____________________________________________________________________
Phone Number: _______________________ Mobile Number: ___________________________
College you are attending: _____________________________________________________________
Occupational Continuing Education Student (must be enrolled in a credentialing program of at
least 96 Hours).
Select the Pathway you are enrolled in:
|Emergency Medical Services||Fire and Rescue Services|
Course you are enrolled in: ____________________________________________________________
Have you or members of your family been directly or indirectly affected by COVID-19?
_____ Yes _____ No
If yes, how? _________________________________________________________________________
I have read and understood the requirements for assistance. I hereby declare that the information provided on this form is complete and correct to the best of my knowledge.
Applicant’s Signature Date