Emergency Assistance Form

We know that many in our campus community have been affected by the recent flooding. Our college is committed to supporting our students, faculty, and staff during this challenging time.

Please complete our Emergency Assistance Form below to let us know your needs.

We are all in this together. Don’t hesitate to reach out – we’re here to help.

This form is for Southwest Virginia Community College students, faculty, and staff. Please provide as much information as you are comfortable sharing so we can connect you with the best help possible.

Name(Required)

First Last

Your Student EMPLID

If you know or have this handy, it will help us out a lot.

Email(Required)

Your @email.vccs.edu is preferred, but any email you can easily check will work.

Phone(Required)

Mobile is prefered in case we need to text.

I need help with

What essential items were damaged or you have been unable to obtain due to lack of services caused by thje storm?

Please share more about your needs and experience

Which books or supplies were damaged? Is your road still blocked? Please let us know how you managed during and after the storms. If you would prefer a phone call or text to discuss your situation, you can indicate that here.

I am a

Student

Employee

Comments

This field is for validation purposes and should be left unchanged.