[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-288130-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-288130-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","trio-student-support-services-income-verification-form","TRiO Student Support Services - Income Verification Form","","This document serves as an official income verification form for students applying to the TRiO Student Support Services program at Cuyahoga Community College, Eastern Campus. It is specifically designed for parents or guardians to provide essential financial data, including annual household income, family size, dependency status for tax purposes, and sources of income. The information collected is mandated to assess eligibility and program requirements, ensuring accurate reporting of low-income student populations served by the institution. Parents are required to verify the accuracy of the provided financial details through a formal signature and date, facilitating a streamlined intake and processing procedure for the academic support program. The form includes specific instructions for returning the completed document, either in person at the Eastern Campus Student Services building or via postal mail to the provided office address, thereby ensuring compliance with program administration standards and institutional documentation protocols.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/trio-student-support-services-income-verification-form/288130/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/trio-student-support-services-income-verification-form/288130.png","ImageObject",442,249,{"name":42,"@type":43},"Alex Sinclair","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-23","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":30},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is the purpose of the TRiO income verification form?","Question",{"text":62,"@type":63},"The form is used to verify a student's household income to determine eligibility and report the number of low-income students served by the TRiO Student Support Services program at Cuyahoga Community College.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"Where should the completed income verification form be submitted?",{"text":67,"@type":63},"The form can be returned in person to the Tri-C Eastern Campus, Student Services building, Room 1113, or mailed to the provided address in Highland Hills, Ohio.",{"name":69,"@type":60,"acceptedAnswer":70},"What financial information is required from the parent or guardian?",{"text":71,"@type":63},"Parents or guardians must provide the yearly family income, family size, number of tax-claimed dependents, and primary sources of income, as well as confirm if the student is Pell Eligible and the employment status of the income source.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},288130,1790130047,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":30,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Dear Parent/Guardian:  \nYour student has expressed interest in joining the TRiO Student Support Services program at Cuyahoga Community College Eastern Campus. As part of the application and intake process, we must verify the student’s household income to report the number of low-income students served by this program. Please complete the form below to verify your income information, and have the student return it to Tri-C ESS 1113, or mail it to:  \nCuyahoga Community College  \nTRIO Student Support Services-Eastern Campus  \nStudent Services bldg. , Room 1113  \n4250 Richmond Road  \nHighland Hills, Ohio 44122  \nShould you have questions, feel free to contact us at (216) 987-2700. Thank you,  \nINCOME VERIFICATION  \nStudent’s Full Name:  is a dependent student  \n(Under age 24, supported by parents or guardian)  \nYearly family income: $   Family Size:   Is the student Pell Eligible? Yes ☐ No ☐ Total number of dependents that you claim on your income tax:   Sources of Income: Employment ☐ Public Assistance ☐ SSI ☐ Other ☐   \nIf employed: Full-time ☐ or Part-time ☐  \nI,   verify that this income information is valid.  \n(Parent/Guardian’s name)  \nSignature:   Date:  / /   \n(Parent/Guardian)","cbCaiccAGgbCag8u","https://ap.wps.com/l/cbCaiccAGgbCag8u","pdf",229929,"English","# Program Overview and Purpose\n## Submission Instructions\n# Income Verification Form Fields\n## Student and Household Details\n## Income and Financial Eligibility\n## Signature and Certification","[{\"question\":\"What is the purpose of the TRiO income verification form?\",\"answer\":\"The form is used to verify a student's household income to determine eligibility and report the number of low-income students served by the TRiO Student Support Services program at Cuyahoga Community College.\"},{\"question\":\"Where should the completed income verification form be submitted?\",\"answer\":\"The form can be returned in person to the Tri-C Eastern Campus, Student Services building, Room 1113, or mailed to the provided address in Highland Hills, Ohio.\"},{\"question\":\"What financial information is required from the parent or guardian?\",\"answer\":\"Parents or guardians must provide the yearly family income, family size, number of tax-claimed dependents, and primary sources of income, as well as confirm if the student is Pell Eligible and the employment status of the income source.\"}]","TRiO Student Support Services - Income Verification Form | PDF",1789633152]