Emergency Food Fund Request Form

Student First Name *

Student Last Name *

SAIT Student Email *

Use your @edu.sait.ca e-mail address

Student Phone *

SAIT Student ID *

Student Status *

Course Load *

Program of Study *

Are you submitting this form on behalf of a student? *

Your First Name *

Your Last Name *

Your Email *

Reason for Referral *

Are you currently employed? *

Other Source(s) of Income? *

Is your spouse or partner currently employed?

Number of Dependants (Not Including Yourself) *

A dependant is someone who relies on you for financial support and care.

Please provide more information regarding your dependants: *

How did you hear about the Saitsa Emergency Food Fund? *

Select all that apply

Other

Has SAIT provided any financial support? If yes, please explain: *

If yes, please explain.

Please tell us how this support will help you specifically: *

Minimum 100 words

Acknowledgement 1 *

Acknowledgement 2 *

Acknowledgement 3 *

Acknowledgement 4 *

Acknowledgement 5 *

Terms & Conditions *

1. You must be a current SAIT student with a valid SAIT student ID. 2. The information in this form is used for statistical purposes only and will be kept confidential. To the best of my knowledge all the information above is true.