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WOU Foundation Emergency Funds Petition

This form is used for students to request an exception to a conditional rule regarding required eligibility criteria for fund dispersal for student emergency use.

Student Emergency Funds Petition
Your petition will generally be acted upon within 10 days of receipt. You will be notified of the decision by email or phone.
This information is confidential and for internal use only by the Office of the Vice President for Student Affairs.

Questions regarding this form or this process should be directed to: studentaffairs@wou.edu
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Name*
First Last
Student ID Number*

Please fill in your Western Oregon University student "V" Number.
Current Class Standing (select one)
Select your current class or academic standing from the options below.
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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PLEASE INDICATE THE NATURE OF YOUR PETITION REQUEST:
(1) CREDIT LOAD REQUIREMENT:
All petitions for this waiver must include a detailed account of the reasons why WOU Foundation eligibility criteria should be waived in this case. NOTE: 6 credit hours at WOU are required for consideration for fund dispersal for the James Gregory Daniels Memorial Trust Fund or the Virginia Burton Loan Fund. 9 credit hours at WOU are required for consideration for funds from the
(2) EMERGENCY GRANT LIMIT:
All petitions for this waiver must include a detailed account of the reasons why WOU Foundation eligibility criteria should be waived in this case. NOTE: The Emergency Grant is limited to one per academic year.
(3) OTHER:
Please list any other limiting criteria that you would like to request a waiver of here. Include a detailed account of the reasons why WOU Foundation eligibility criteria should be waived in this case. NOTE: The Emergency Grant is limited to one per academic year.
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Submit Petition*
By submitting this petition I certify that the information that I have provided is true, accurate, and correct to the best of my knowledge.
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Western Oregon University’s Land Acknowledgement
Western Oregon University in Monmouth, OR is located within the traditional homelands of the Luckiamute Band of Kalapuya. Following the Willamette Valley Treaty of 1855 (Kalapuya etc. Treaty), Kalapuya people were forcibly removed to reservations in Western Oregon. Today, living descendants of these people are a part of the Confederated Tribes of Grand Ronde Community of Oregon and the Confederated Tribes of the Siletz Indians.

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WOU Foundation Emergency Funds Petition

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