Employee Lumberjack Fund Application

For information about ELF, visit https://in.nau.edu/sac/elf/.

Employee Lumberjack Fund Request

request form for financial assistance from Foundation fund

Date
MM slash DD slash YYYY
Name
First Last
Phone
Email
NAU ID Number (7 digit)*
Primary reason assistance needed:*
- Risk of losing housing/ eviction
- Assistance in securing new housing
- Utilities
- Loss of job/ reduction in hours
- Transportation/ gas
- Family emergency
- Food
- Medical/ dental
- Personal crisis
- Other (explain below)
Is your request related to being the parent/ guardian of a minor child?*
Provide a brief explanation of the nature of the emergency. Include any relevant information available such as family finances, the recent loss of income and other extenuating circumstances. These funds are to assist employees that have experienced a recent and unexpected catastrophic event in their life, not to supplement employee wages.*
Attach any documents to support your request
Max. file size: 20 MB.
Amount requested (may not exceed $250)
Please enter a number less than or equal to 500.
I understand that if I receive ELF funding, it is taxable income. By placing my full name (First, Middle, Last) and NAUID number on the line below, I acknowledge this serves as my electronic signature on all necessary paperwork.*

Your application will be reviewed within 5 business days from the day it is submitted. Checks will be available for pick up between 7-14 days from application date.

Questions? Email NAU-ELF@nau.edu and your inquiry. All requests and information provided is kept strictly confidential.