Access your member number by claiming your account on the Sigma Kappa website, or you can email email@example.com to request it.
Chapter of Initiation
Year of Initiation
Number of Children
City, State, Zip
Disaster Causing Loss
Please explain the reason for the grant request and the amount needed
Amount of assistance needed
Have you exhausted all possible sources of support?
Describe any relationship you have with any members of the Sister to Sister Disaster Recovery Fund Committee
Cash on hand and otherwise available
Insurance benefits received or expected to be received
IRA (Average Monthly Withdrawals)
Investments (Average Monthly Withdrawals)
Alimony and/or Child Support
Assistance from Children/Relatives
Mortgage and/or Rent Payment
Utilities (electricity, gas, water)
Medical (not covered by insurance)
"Past Due" Outstanding Bills
Balance in Banks, S&L’s and Credit Unions
Other Assets (securities, real estate, etc.)
Other Financial Information
College/University Information (if applicable)
College/University planning to attend during term of application
Indicate Class Standing During Term of Application
Indicate Housing Situation During Term of Application
Room and Board
Books and Supplies
Total Cost of Attendance for Academic Year
Additional financial aid
Total Income Available for the Academic Year
Did you apply for federal financial aid (FAFSA)?
If yes, what was your Expected Family Contribution (EFC)?
If no, explain why you chose not to apply for aid.
If you have borrowed student loans, what is your total indebtedness to date?
If you have more costs than income, how do you plan on paying the difference?
Do you plan to work while attending school?
Are you working in your field of study?
Are you working in a job designated as "work study" by your College/University?
Does your income help to support your family?
Reference (Sigma Kappa member reference)
City, State, Zip
Agreement of Certification of Accuracy
I certify that the information in this application is accurate to the best of my knowledge.