Welcome to CT State Community College Housatonic

Contact Information

Today's Date

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HCC Banner ID(*)

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What semester do you assistance with?

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Are you currently in the FESP or EQUITY program? (Select one, or select no if you are unsure.)

First Name(*)

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Last Name(*)

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HCC College Email(*)

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Street Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Type of Assistance

Type of Assistance(*)

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Write last Semester and Year you took a class at HCC.(*)

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Have you applied for emergency assistance before? (Allowed once per calendar year/365 days)(*)

YesNo Invalid Input

I understand assistance with HCC tuition is not for future classes. Tuition assistance may be used for my current classes & outstanding balance from last semester.(*)

YesNo Invalid Input

Tell us about your studies.

I am currently taking classes at HCC. You are required to be in an HCC class.(*)

YesNo Invalid Input

Are enrolled as a part time or full-time student?(*)

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What is your current HCC Program and Major?(*)

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How many credits do you have?(*)

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Have you earned a college degree in the US?(*)

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How have you been paying for college?

Did you submit a FAFSA form through HCC Financial Aid Office?(*)

YesNo Invalid Input

Did you receive full FAFSA/financial aid?

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If no, please explain why you didn't receive FAFSA/financial aid.

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Did you submit a scholarship application through Foundation Office?(*)

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Explain Your Emergency In Detail

Explain in detail: What is your unexpected emergency? (*)

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Explain in detail: How is this emergency unexpected?(*)

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List in detail: What external efforts have you made to obtain assistance for this? (*)

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Explain in detail: How are you going to avoid another emergency situation like this in the future?(*)

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Explain in detail: Your work status, such as: Are you working, looking for a job, registered with HCC Career Services, a work study student? (*)

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You Are Required To Upload Your Bill Or Invoice

What do I upload?
A Copy of your bill in a JPG, PNG or PDF format

What are we required to see?

your address
the account number
Company billing you

Who is the check written to?
The company billing you, such as:

HCC
Follett Bookstore
Your utility Company
Your landlord
Your Doctor
Your child’s Daycare, or
Your mechanic

I understand checks are never written directly to students.(*)

YesNo Invalid Input

Upload All Supporting Documents - JPG, PNG or PDF. (Not doing so will delay your request)(*)

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JPG, PNG and PDF uploads allowed

Upload Degree Works Transcript - JPG, PNG or PDF. (Not doing so will delay your request)(*)

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JPG, PNG and PDF uploads allowed

To be considered, I understand & certify:

I am a current student taking classes at HCC, in good academic and financial standing at HCC. I understand that falsifying or withholding relevant information may violate the HCC Student Code of Conduct. I have provided truthful information on this application (*)

YesNo Invalid Input