CARES Act: Emergency Aid Request Form

Please complete the application in its entirety for one-time emergency funds to minimize the negative impact coronavirus (COVID-19) has had on your education at Santa Ana College. These eligible expenses include food, housing, course materials, technology, health care, and child care. You will not have to pay these funds back. For questions, please email

* - Required field

Student Information:

(Note: Needs entire student number)

(Format: 123-456-7890)

(Must conform to the correct email format)

Education Information:

(Format: MM/YYYY)
Have you applied for financial aid this academic year? *
Have you financially been impacted by COVID-19? *

If you qualify for funding, please confirm that it will directly benefit you completing this semester at Santa Ana College. *