CalFresh Suspension Emergency Application

Due to the federal government shutdown, CalFresh services have been temporarily paused. We understand this may be causing financial hardship, especially for students who rely on CalFresh for food and basic needs.
If you are currently impacted, you may be eligible to apply for emergency assistance.

Eligibility Requirements:

You must be enrolled in 6 or more units during the current semester.

Important Notes:

*Funds are limited and not guaranteed.
*Support is intended to help with essential needs during this disruption.

Please upload documentation showing the benefits you currently receive.
A screenshot of your BenefitsCal page is required. Do NOT use additional EBT apps to provide this proof (ex. EBT Edge, CalSNAP, Propel).
It should clearly show:

*That you are approved for CalFresh
*The amount you receive in benefits

This helps us verify your eligibility for emergency assistance.
If you need help capturing or uploading the screenshot, please reach out to the Basic Needs department- we’re here to support you.

Name Name First Last
Student ID (Ex. 900******)
Phone Phone - ### - ### ####
Email
Did you complete the FAFSA, or the California Dream Act Application?

Did you complete the FAFSA, or the California Dream Act Application? Yes No
Are you a student parent with dependents under the age of 18, living in your household?

Are you a student parent with dependents under the age of 18, living in your household? Yes No
Are you enrolled at FRC in 6 or more units for the Fall 2025 semester?

Are you enrolled at FRC in 6 or more units for the Fall 2025 semester? Yes No
Please upload documentation showing the benefits you currently receive.
A screenshot of your BenefitsCal page is required. Do NOT use additional EBT apps to provide this proof (ex. EBT Edge, CalSNAP, Propel).
It should clearly show:

*That you are approved for CalFresh
*The amount you receive in benefits

This helps us verify your eligibility for emergency assistance.

Attach Files
Draw your signature into the box below to confirm that all information provided in this application is true and accurate.

Draw or Type

Certification and Signatures – The person signing this worksheet certifies that all of the information reported on it is complete and correct. Warning! If you intentionally provide false or misleading information, you may be subject to disciplinary action. Clear

Full Name

Certification and Signatures – The person signing this worksheet certifies that all of the information reported on it is complete and correct. Warning! If you intentionally provide false or misleading information, you may be subject to disciplinary action.