TRiO/SSS Participant Application - Application Form - Personal Information to Personal Questions

Sep 19, 2026

Upload by Finn

TRiO/SSS participant application form collecting confidential personal, eligibility, participation history, and financial verification details required for program consideration. The form requests identity and contact information, U.S. citizenship or residency status, first-generation and disability-related eligibility indicators, and prior involvement in educational programs. It also captures income verification method and taxable income totals. Additional sections collect family education background, prior and current school enrollment, aid received at Palomar, and academic goals plus program interest reasons.

LanguageEnglish

CategoryForms

FormatPDF

Pages4

Reading Time2 min

AccessFree to download

STEP 1: Personal Information

STEP 2: Eligibility

STEP 3: Participation

STEP 4: Verification of Income

STEP 5: Family Information

STEP 6: Educational Information

STEP 7: Personal Questions

TRiO/SSS Participant Application All information provided will be held confidential and used for the TRiO/SSS program purposes only. All information requested must be completed for the application to be considered. Also please use black ink only and print legibly. STEP 1: Personal Information 1. Name: Last First Middle Initial Suffix 2. Social Security \#: 3. School ID \#: 4. Mailing Address: Street Apt\# City State Zip 5. Cell Phone \#:( ) Home Phone \#: ( ) Other Cell Phone\#:( ) 6. E mail Address: School E mail: (Please Print Legibly) (Please Print Legibly) 7. Date ofBirth: Gender: Female Male 8. Class Level: Freshman (1st year in college) Freshman (less than 30 units) Sophomore (more than 30 units) 9. Are you Hispanic? Yes No What ethnicity do you identify with? (Please check all the boxes that best describe you) American Indian or Alaskan Native Native Hawaiian/Pacific Islander Asian American or Asian Native African or African American Caucasian (white) 10. Please check all the social networking sites you use: Facebook Twitter Other: N/A Instagram STEP 2: Eligibility Please answer the following questions about yourself. (If answer yes to question 1, skip to question 3) 1. Are you a U.S. Citizen? Yes No 3. I am a first generation college student (Please see Step 5) Yes 2. Are you a Permanent Resident? No 4. I am registered disabled student Yes Yes No No Dependent Student Claimed by parent(s) or guardian Independent Student (under ages 24, considered independent if: married, a veteran or active military, have children who receive more than half of their support from you, if an orphan or ward/dependent of the court.) Revised 6/6/2013 1 STEP 3: Participation Please indicate which Educational Programs you have participated in (Check all that apply, write participant years. If you did not participate in the following programs mark N/A) . Talent Search GEAR UP Upward Bound AVID TRiO/SSS EOPS STEP 4: Verification of Income Instructions for providing verification of income, please submit the following: • If parent(s), guardian(s), or student file a Federal 1040 Income Tax form: provide a signed copy of pages 1 & 2 of the most recent form showing the number of exemptions claimed and the taxable income. Caution‐ Be sure to provide the form covering the most recent tax year. The USDE uses the size of the student’s family’s taxable income to determine income eligibility. • If parent(s) or guardian(s) receive Social Security payments (SSI, Disability, etc.) request verification of monthly benefits from your Social Security office. • If you cannot provide any of the above sources of income verification, please attach a letter stating: the parents/guardians/ student’s yearly income, the source of income, and current number in the household, along with a parent/guardian signature and date. MUST BE FILLED OUT: Total Taxable family income (line 43 on the 1040 form) reported on Federal Income Tax Return during the mostrecent tax year: Total number of people supported by this income: $ (Please print amount in box) If you did not file an income tax return for the most recent tax year, please indicate your source of income by placing a check in the appropriate box (es) below. Disability Social Security Unemployment Veterans Benefits Step 5: Family Information To be eligible as a first generation student, neither of your parents/guardians possesses a bachelor’s degree (also known as a “four‐ year degree”) . | | Elementary | High School Diploma | College Degree | | --- | --- | --- | --- | | Father | 1 2 3 4 5 6 7 8 | 9 10 11 12 yes no | 1 2 3 4 yes no | | Mother | 1 2 3 4 5 6 7 8 | 9 10 11 12 yes no | 1 2 3 4 yes no | STEP 6: Educational Information Please answer the following questions about yourself 1. Did you submit your FASFA application? Yes Date Submitted (dd/mo/yr)___

FAQs

What information is required in Step 1 (Personal Information)?

Step 1 collects name, social security number, school ID, mailing address, phone numbers, email addresses, date of birth, gender, class level, and whether you are Hispanic, plus ethnicity and social networking sites used.

What eligibility details does Step 2 ask for?

Step 2 asks about U.S. citizenship, permanent residency, first-generation status, and whether the applicant is a registered disabled student. It also distinguishes dependent versus independent student status.

How is income verification handled in Step 4?

Step 4 instructs applicants to submit a signed copy of the most recent federal 1040 pages 1–2 for claimed exemptions and taxable income, request Social Security benefit verification if applicable, or attach a letter stating yearly income, income source, household size, and signatures. It also requires the total taxable family income amount or a check of the appropriate income source box if no tax return was filed.

Sep 19, 2026

Upload by Finn