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Financial Support for Working Students

Do you work, go to school, and need financial assistance?

Financial Assistance is available for:

Exam fees, laptops, books, equipment, or tuition
Childcare
Transportation

Requirements Include:

Working part-time
18 years of age or older
Income requirements apply.

Questions:
Amanda Warthesen, Business & Income Developer
Ph: 608.782.5525

Income Guidelines
Income must be at or below 150% of the federal poverty income guidelines.

LOOKING FOR ASSISTANCE IN THIS OR ANY PROGRAM? COMPLETE A COULEECAP program inquiry form

Couleecap Program Inquiry Form

* Indicates required field

1. Name *

First

Last

2. Address *

Line 1

Line 2

City

State

Zip Code

Country

3. The county you live in *

Crawford La Crosse Monroe Vernon

8. What sources of income do you have for your household? Please check all that apply. *

No Income Social Security Disability Income (SSDI) Private Disability Insurance Alimony or other Spousal Support Veterans Financial Compensation Employment/Self Employment Supplemental Security Income (SSI) Worker's Compensation Retirement Income from Social Security Unemployment Insurance Social Security Survivor Benefits W2 Pension Child Support

Couleecap only serves residents of these four counties. If you reside in a different county there is a Community Action Agency that may be able to help. Learn more: https://wiscap.org/member-agencies/

4. What is the best way to contact you? *

Phone Email

Phone Number *

Email *

5. Your housing status *

I own my home I rent I am homeless I own my mobile home

Do you pay lot rent *

Yes No

6. How many people live in your household? *

7. What is your household monthly income? *

Other: *

9. Are you receiving any other resources? Please check all that apply. *

Earned Income Tax Credit (EITC) WIC Section 8 Voucher Permanent Supportive Housing SNAP/FoodShare Energy/Utility Bill Assistance Affordable Care Act Subsidy Public Housing Childcare Voucher HUD-VASH

10. What are you looking for help with? Please check all that apply. *

Food or food assistance Heating assistance and home weatherization Finding shelter/housing Buying a home Buying or repairing a vehicle Applying for social security disability benefits Home repairs Rent or security deposit to avoid eviction Paying for college or technical college Starting or expanding a business

Other: *

Submit

For available resources on renting an apartment from Couleecap, please visit https://www.couleecap.org/rental-units.html

Copyright © 2018 Couleecap Inc

Home
About
- Our Board
- Our History >
  - Our Reports >
    
    2020 Impact Report
    
    2019 Impact Report
    
    2018 Impact Report
    
    2019 Needs Assessment
Programs
News
Careers
- Current Opportunities
Contact Us
- Donate >
  - Our Stories
- Consumer Information
Golf