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Are you currently an enrolled student? *
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Class Level: *
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Student Status: *
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Do you have an upcoming interview? *
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Have you received any other university-sponsored assistance? Check all that apply. *
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I acknowledge and understand the following:
- I verify that the above-mentioned personal information is authentic and will be shared with others at the university for review of this request.
- My personal information will be shared, and that FERPA and HIPPA do not
apply, as I have voluntarily shared this information for this request.
- The University of New Haven will only share my personal information with those
who have a legitimate need to know as they review my request.
- A staff member from the University of New Haven may reach out to me to
request additional support based on my answers.
- Clothing is awarded as a grant, and unlike rentals, do not need to be returned.
- The University of New Haven may choose to share my story with supporters of this fund. I will be consulted for approval before any information is shared. *
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