California State University - Long Beach Logo

Basic Needs Application


Basic Needs provides services to students experiencing a current emergency or crisis such as food insecurity, housing insecurity, and/or health-related or medical expenses. 

 

Important note: Thank you for taking the time to complete this form. The Basic Needs Team reviews referrals daily, Monday-Friday, during regular business hours 8am-5pm. This form is NOT monitored 24 hours a day and does not notify first responders. If this is an emergency, please call 9-1-1 or contact University Police at (562) 985-4101.  

 

Eligibility requires you to be a currently enrolled student, experiencing food and/or housing insecurity, and/or experiencing an unforeseen circumstance. Grant maximum is $1,500 for the school year (August-May). For assistance in completing the form below, please contact the Basic Needs office (562) 985-2038 or email us at SupportingStudents@csulb.edu.

 

Once your application is submitted, you will be contacted by a Basic Needs staff member via phone or your CSULB email within 2-3 business days.  

 

For information about our program and off campus resources, visit our website at www.csulb.edu/basicneeds . To stay up to date with our events and resources, you may follow us on Facebook, Instagram, and Twitter @BasicNeedsCSULB 

Application

 
Enable additional features by logging in.
Email address must be of a valid format.

Applicant Information

Involved party 1

Questions

1. Which service(s) are you applying for? (Check all that apply)(Required)
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
This field is required.
8. If you are applying for the Emergency Grant, which basic needs category are you requesting support for? [Must submit supporting documentation of your need such as actual rent/utility bill, medical bill, etc. that corresponds with the chosen category)(Required)
You must make at least one selection.
This field is required.
10. Please indicate which programs/services you are currently connected with.
You must make at least one selection.
This field is required.
Do you prefer a virtual or in-person appointment?(Required)
This field is required.

Supporting Documentation- REQUIRED

REQUIRED FOR EMERGENCY GRANT APPLICATIONS: Please attach supporting documentation verifying need. (Ex: Copy of rent bill or lease showing amount, copy of utility bill within last 30 days, copy of medical bill within last 90 days, copy of actual invoice for car repair, copy of internet bill, proof of incident or verification of emergency, copy of 3-day pay or quit or eviction notice, proof of job loss or 2 pay stubs showing decrease in income) 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission