TRIO Application Listen Name * Required First Middle Last Email * Required Phone * RequiredBirth Date * Required MM slash DD slash YYYY SSN / College ID HS Grad / HS Equivalency Year * Required Prior college experience * Required Yes No Explain prior college experience * Required Planning to transfer to a 4-year college? * Required Yes No Transfer to * Required U.S. Citizen * Required Yes No Immigration status (number) * Required NCC Program * RequiredAccountingAdministrative Office ManagementAdministrative SecretarialAgriculture - OnlineAssociate Degree NursingAssociate Degree Nursing - HybridAssociate of Arts: BusinessAutomotive & Light Duty Diesel TechnologyBusiness (Diploma)Business ManagementComputer & Network SecurityComputer ScienceDesign TechnologyDiesel TechnologyElectrical TechnologyEngineering DesignHealth Care ManagementHealth Information Technology - OnlineHeavy Equipment Operation & MaintenanceIndustrial & Commercial WiringIndustrial Instrumentation & ControlMedical Coding - OnlinePharmacy TechnicianPowerlinePowerline TechnologyPractical NursingPractical Nursing - ExtendedPre-Professional AccountingPre-Professional ArtPre-Professional Criminal JusticePre-Professional Early ChildhoodPre-Professional EducationPre-Professional EntrepreneurshipPre-Professional Environmental SciencePre-Professional HistoryPre-Professional Human ServicesPre-Professional Mortuary SciencePre-Professional MusicPre-Professional PsychologyPre-Professional Sports & Personal FitnessPre-Professional TheatreProduction WeldingRadiologic TechnologyWeb & Graphic Design - OnlineWellness ManagementUndecidedDo your parent(s) have a 4-year degree * Required Neither Father Mother Which best describes the education background of the parent(s) you lived with as a child as it relates to a 4-year degree?Father / Mother degree from * Required Family Life (I lived all/most of my childhood) * Required with both natural parents with my natural father with my natural mother as an orphan / ward of the court Financial Aid * Required Applied for Financial Aid Plan to apply for Financial Aid Not applying for Financial Aid Disability * Required Yes No I have a physical, mental, or learning impairment that substantially limits one or more major life activities.Please specify the nature of your disability * RequiredDocumentation of your disability is required in order to provide appropriate services for you.Academic Need * Required Non-traditional student (out 5+ yrs) Currently failing a class Low midterm grade Attended an alternative high school program Completed High School Equivalency Need tutoring for my course work Diagnosed and documented disability Will use the equipment and services TRIO provides You must exhibit a need for academic services. (Please check all that apply)By typing my full name below, I certify that the information is true and correct to the best of my ability. I understand the information supplied on this application is confidential. I authorize the TRIO personnel to obtain from the Office of Admissions/Financial Aid/Faculty my financial aid, progress information, and/or academic records/data pertinent to my participation in the TRIO program.Full Name * Required CAPTCHA
