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S. Citizen:   Yes   No Permanent Resident:   Yes   No  \nADDRESSES  \nHome (Permanent): Campus (Academic Year):  \n________________________________________________ ________________________________________________  \n________________________________________________ ______________________________ __________________  \nHow did you hear about TRiO SSS?    \nCONTACT INFORMATION  \nHome Phone:   Personal Cell:   May we send texts to your cell?   Yes   No  \nEmail:   Other:    \nEDUCATION HISTORY  \nCurrent Year in College (in Fall 2025):   Freshman   Sophomore   Junior   Senior Current Major (accepted):   Desired Major:    \n  High School Diploma or   GED  \nHigh School: *   City/State:   Previous College Attended:   City/State:    \nPLEASE CHECK YOUR PREVIOUS PROGRAM INVOLVEMENT  \n AVID   EOC (TRiO)   Gear Up   College Track  PCDP   Talent Search (TRiO)   Student Support Services (TRiO)   Upward Bound (TRiO)  \nOther High School or College Programs/Activities:    \n_________________________________________________________________________________________________________  \nVETERAN STATUS  \n Yes   No If Yes, Dates of Active Duty:    \nReserve Status:   Yes   No If Yes, Dates:    \nELIGIBILITY FOR SERVICES  \n1. Has either parent received a 4-year college degree?   Yes   No  \n2. If yes, specify parent and degree:    \n3. Total number in your household    \n4. Have you ever been diagnosed with a disability?   Yes   No  \n5. Have you ever been in foster care or in a court appointed guardianship?   Yes   No  \n6. If yes, were you in foster care after the age of 13 years old?   Yes   No  \n7. Are you designated as McKinney Vento?   Yes   No  \n8. Do you have a fixed, regular and adequate night-time residence?   Yes   No  \nCheck the amount below which best matches your household’s current level of taxable income:  \n(This amount can be found on tax forms (1040EZ-line 6, 1040A-line26, or 1040-line 43)  \n  $0-18,210   $18,210-24,690   $24,691-31,170   $30,171-37,650   $37,651-44,130   $44,131-50,610   $50,611-57,090   $57,091-63,570   OVER $63,570  \nWHICH CATEGORIES OF FINANCIAL AID DO/WILL YOU RECEIVE? (Check all that apply):  \nHave you applied for Financial Aid (FAFSA) for the current academic year?   Yes   No   Pell   Other Grants   Scholarships   Loans   Work-Study   None  \nWHICH TRiO SSS SERVICES ARE YOU INTERESTED IN? (Check all that apply):  \n Academic Support   Career Exploration   Financial Aid/Scholarship Planning   Financial Management   Graduate School Exploration __Mentoring   Study Abroad  \n  Study Skills   Transition Concerns   Tutoring   Other   \nPlease write a short paragraph explaining how TRiO SSS will be helpful to you and what makes you a good fit:  \n_________________________________________________________________________________________________________________________  \n_________________________________________________________________________________________________________________________  \n_________________________________________________________________________________________________________________________  \n_________________________________________________________________________________________________________________________  \n_________________________________________________________________________________________________________________________  \n_________________________________________________________________________________________________________________________  \nStatement of Verification and Disclosure  \nI attest that all the information I provided above is true to the best of knowledge. I give permission for SSS to verify the information disclosed on this form with CU Office of Disability Services, Office of Financial Aid, and the Office of Admissions. I understand that my acceptance into the TR","cbCaid94kI9ni3Vg","https://ap.wps.com/l/cbCaid94kI9ni3Vg","pdf",548305,"English","# Application 2025-2026\n## Student information and eligibility\n## Education history, veteran status, and service interests\n## Verification and disclosure\n## Family income verification form","[{\"question\":\"What information is required in the main TRiO SSS application section?\",\"answer\":\"The form requests student identity and contact information, education history (including current year in college and accepted major), veteran status, previous program involvement, and responses to eligibility questions. 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