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Brookdale Disaster Relief Fund

The Brookdale Community College Foundation has set up a special fund to help Brookdale students impacted by Hurricane Sandy. The fund is designed to assist students with college related expenses such as supplies, meals, clothes needed for classes/labs, transportation, etc. Thanks to the generosity of Brookdale faculty, staff, alumni, the Brookdale Alumni Association, the Brookdale Foundation, student groups holding fundraisers, and more, funds are being collected and earmarked for this special fund.

If you're a student who needs help, please complete this form and submit it today.

Name* First Name Last Name

Student ID*Student ID
Address:
Street Address

Address Line 2

City

State

Zip Code
Phone Primary Phone* Secondary Phone
Email Address* Email Address
What is the best way to reach you?*
I am a:
FT Student PT Student
Did you apply for financial aid?
Yes No
Please describe how you were impacted by the storm and identify areas needing assistance.*
The amount of funds you are requesting:
Agreement* Please check this box to acknowledge that the information you are submitting is true and factual.

Brookdale, The County College of Monmouth

765 Newman Springs Road, Lincroft, NJ 07738-1543
An equal opportunity/affirmative action institution
Telephone 732-224-2345