Aerial photograph of the Immaculate Conception Chapel

Student Crisis Fund Request

Applicant Information

Please complete the necessary information to process your request.

If tuition-related, have you contacted Financial Aid?
No -- see instructions, below
Not tuition-related

If no, contact Donald Vince, Associate Director of Admission and Financial Aid at 937-229-3568 or

Choose from the following:
Medical Emergency
Unexpected Travel
Financial Hardship for Basic Essentials
* Please check the box and electronically sign below:
I acknowledge that all the information I have provided, verbally and in writing related to my request for assistance is true. I understand that a committee will review my request for assistance and make a final decision to approve or reject my request.
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