Project GROW Student Need Fund

Applicant Information

First and Last Name

UTPB Email Address

ID Number

Phone Number

Are you a First-Generation student?

Are you a U.S. Citizen?

Physical Address

Country

Street

City

Region

Postal Code

Academic Information

Program of Study (Graduate Students Only)

Current Grade Point Average (GPA)

Enrollment Status

Financial Information

Household Size

Annual Household Income:

Assistance Request

The Student Need Fund provides limited, last resort, financial assistance to currently enrolled students who are
experiencing an unforeseen event that requires additional monetary assistance in order to support their ability
to stay enrolled and focused on their academic career. NOTE: [ The Project GROW Student Need Fund is only
intended to cover tuition fees and will be applied as a first-in payment.]
Please describe the emergency you are experiencing:

Please indicate the amount of the assistance you are requesting.

Student Acknowledgment

I acknowledge that the information offered in this form is true to the best of my knowledge

Full Name

Today's Date