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The form also gathers detailed needs and preferences, including disability status and requested TRIO/SSS services. A confidentiality notice addresses authorized access under FERPA and outlines restrictions on use. 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All students selected for the program must be U.S. Citizens or permanent residents that demonstrate an academic need AND are one of the following: first-generation, low-income, and/or students with a disability. These students will be offered academic development opportunities, assistance with meeting basic college requirements, and support to motivate them towards the successful completion of their postsecondary education. It is expected that program participants will meet with their TRIO/SSS advisor and engage in a program activity at least 2 times a semester. Fields with an * are required fields. Incomplete applications will not be accepted. All information will be kept confidential in accordance with the Federal Educational Rights and Privacy Act (FERPA) .  \n*Name  \n(First, Middle Initial, Last):  \nMailing Address: City  \nState, Zip  \n*SCCC Email: Personal Email:  \n*Which is the best way to reach you:  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\n*800\\#:  \n*Date of Birth:    \nGender:   Home Phone:    \n*Cell Phone:    \n*Can we text you?  Yes  No  \n Phone Call  Text Message  Mail  SCCC Email  Personal Email  \n*Ethnicity:  \n*Race  \n(Please check all that apply):  \n*Are you a U.S. Citizen?  \n Hispanic– Cuban, Mexican, Puerto-Rican, or from South or Central America  \n American Indian or Alaska Native  Asian  Black or African American  \n Hawaiian Native/Pacific Islander  White  \n Yes  No  Permanent Resident Please provide your A\\#:  \n*High School Graduate  Yes  No  GED Graduation Year or Last Grade Completed:  \nName of High School or GED Center: City: State, Zip:  \nHave you attended a college other than SCCC/ATS?  \n Yes  No If yes, where?  \n*What is your career/degree goal at SCCC/ATS?  \n Undecided  \n*Do you plan to transfer to a four-year institution?  \n Yes  No If yes, where?  \nAre you homeless?  \nYes  No Are you in foster care?  \n Yes  No  \nAre you a U.S. Veteran?  \n Yes  No Currently enlisted?  \n Yes  No  \n*Do you live with your parent(s)?  \n Yes  No  \nDo you live in a single parent household?  \nYes  No If yes, which parent?  \n*Do you live with a guardian?  \nYes  No Did you live with a guardian before the age of 18?  \n Yes  No  \n*Does your mother have a 4-year college degree?  \nYes  No *Does your father have a 4-year college degree?  \n Yes  No  \n\n| Are you married?  Yes  No Do you have children? |  |  |  |  Yes  No |\n| --- | --- | --- | --- | --- |\n| *Do you have a documented disability? |  Yes  No | What disability? |  |  |\n| *If receiving assistance or accommodation, | is it documented with SCCC/ATS Disability | Services Coordinator? |  Yes  | No |\n| *What TRIO/SSS services are you interested in? (Please check all that apply) |  |  |  |  |\n|  Academic Advising  Career Advising  Cultural Events  Financial Aid Assistance\u003Cbr> Financial Management Job Seeking/Resume/ Interview  Laptop/Calculator Loan  MyCampusPortal Assistance\u003Cbr> Personal Counseling  Study Skills Transfer Assistance Test Taking\u003Cbr>Time Management Writing Skills  Other  Tutoring\u003Cbr>Please list subjects you need help with: |  |  |  |  |\n\n**This form contains confidential information. Access to this form by anyone other than the intended is unauthorized. If you are not the intended recipient (or responsible for delivery of the form to such person) you may not use, copy, distribute or deliver to anyone this form or any parts of its content. If you have received this form in error, please notify TRIO immediately and delete this application from any device. Our program cannot accept responsibility for any loss or damage arising from the misuse of this e-mail or attachment.  \n TRIO/Student Support Services (SSS) Application  Income Verification Form  \n\n| INDEPENDENT STUDENT | DEPENDENT STUDENT |\n| --- | --- |\n| You are considered an INDEPENDENT STUDENT if: | Even if you do","cbCaiqIyfjesZCNP","https://ap.wps.com/l/cbCaiqIyfjesZCNP","pdf",1365031,"English","# TRIO/Student Support Services (SSS) Application\n## Required student information\n## Eligibility and student status questions\n## TRIO/SSS services interest\n## Confidentiality notice and submission instructions\n# Income Verification Form\n## Independent vs dependent student criteria\n## 2024 taxable income and signatures","[{\"question\":\"Who is eligible for the TRIO/SSS program and what eligibility conditions are required?\",\"answer\":\"Selected students must be U.S. citizens or permanent residents and demonstrate an academic need. The program targets first-generation, low-income, and/or students with a disability.\"},{\"question\":\"How often are program participants expected to meet with the TRIO/SSS advisor?\",\"answer\":\"Participants are expected to meet with their TRIO/SSS advisor and engage in a program activity at least 2 times per semester.\"},{\"question\":\"What is the difference between an independent student and a dependent student on the income verification form?\",\"answer\":\"An independent student uses their own 2024 tax information and signs the form. A dependent student references the parent(s) 2024 tax information and has the parent(s) sign, even if the student files their own taxes.\"}]","TRIO/Student Support Services (SSS) Application - Income Verification Form | PDF",1789811068]