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The Birmingham Workforce Retraining Initiative Emergency Fund will provide financial resources to deserving students facing economic hardship and immediate monetary needs due to COVID-19 that, if not met, could result in an inability to complete a fast-track healthcare program. The grant will be awarded based on emergency financial need and award amounts vary based on need up to $500. Funds may be used for purposes such as food, housing, technology, health care, childcare, and other basic needs. A committee will review all applications. Emergency Fund Grants are non-renewable.

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As the student, I certify that all information provided in this application is accurate and I give permission for the COVID-19 Emergency Fund Grant Committee to review my academic and financial records. TYPE NAME AS SIGNATURE