GEER 2020-2021 Student Application

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.

Personal Information:

Full Name:  _________________________________________________________________________

Home Address:  _____________________________________________________________________

City, State, Zip Code:  _________________________________________________________________

E-Mail Address:  _____________________________________________________________________

Phone Number:  _______________________          Mobile Number:  ___________________________

Educational Information:

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:

 

Automotive                Healthcare
Aircraft Maintenance                Industrial/Manufacturing
Construction                Information Technology
Criminal Justice                Transportation
Emergency Medical Services                Fire and Rescue Services
   

Course you are enrolled in:  ____________________________________________________________

Other Questions:

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