Mutual Aid Request Form
Please read carefully.

The mission of the See You Collective is to minimize financial insecurity, strengthen safety, access and inclusion in our campus community by addressing issues of inequity through a respect and dignity-driven approach. If you are in need of financial assistance, please fill out the form below and someone will be in contact with you as soon as possible. At this time, the fund is open to graduate and undergraduate students at Clark University.

Processing time:  Please note that granted funds often take 2 WEEKS to process. If the date by which you need funds falls before that time, we still encourage you to apply for aid.

We ARE NOT connected organizationally or financially to Clark University. We take your anonymity very seriously and NONE of this information will be shared with the university. Please read our Eligibility for Aid Guidelines for more information about our process and how decisions are made regarding requests. More information is also available on our OCF webpage. 

Sign in to Google to save your progress. Learn more
Full Name *
Is the name you provided your legal first and last name? (It's OK if not, but we may have to reach out to you later to get your legal name for paperwork.)
Clear selection
Clark ID Number *
What is your student status? *
I am a currently enrolled student at Clark University. I have not yet graduated. *
Email address (Please do not use your Clark email) *
Please follow this link to read our budget (see column I for our current funds.) Then check the box below. *
We ask you to read the budget in order to get a sense of our financial capacity to meet your need. Our budget is made up of donations (we operate outside the institution of Clark.) Available funds are split between multiple student requests per week. Note that our average amount given out is around $300-400; we do not typically have the funds to meet requests much larger than this.
Required
Request Amount
 *
How will this requested amount be divided between your needs?
 *
What will these funds be used for?
 *
If we are low on funds or have to choose between requests, we may ask for more information regarding the specifics of your request.
Required
If there is a date by which you need these funds, please include that date below and we will do our best to accommodate.
Are you participating in crowdfunding or gathering funds from places other than The See You Collective? If yes, please keep us updated should your need change.
 *
Please select all that you are comfortable sharing. You may elaborate in later questions.
I am...
Please describe the circumstances that led to you requesting aid. We appreciate you sharing in as much detail as you feel comfortable with. *
We recognize this information is sensitive and take anonymity very seriously. Please see above for more details about our process.
(Paragraph format)
Do you consent to our fiscal sponsor, Hack Club (HC), submitting your name, address, and required information to the IRS?
As a 501(c)(3), HC is obligated to report details of all grants. HC handles all IRS reporting; the SYC does not.
 *
Were you referred to The See You Collective by an employee of Clark University? Example: a Dean, a professor, the CARE team, etc. *
Is there anything else you would like us to be aware of?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms