SSS-TRiO Application

Thank you for your interest in the SSS-TRiO program at SCC! As you begin the application, please be mindful that you will have to provide demographic, financial, and educational information. We ask that you answer as honestly and accurately as possible. This information is used to determine eligibility for our federally funded grant through the Department of Education. If you have any questions about the application, you may email the coordinator, Cristina Marquez at Marquez_Cristina@sccollege.edu.

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General Information:

First Name *

Middle Name

Last Name *

Date of Birth *

School ID

Address

Address Line 2 *

City *

State *

Zip *

Contact Phone Number *

If You Would NOT Like To Receive Text Messages, Please Click The Box

Demographic Information:

Choose Which One Applies To You: *

Are You A First Generation Student? (The answer is YES if neither one of your parents has a Bachelor's Degree) *

Ethnicity *

First Semester Enrolled at SCC *

Race, American Indian or Alaskan Native *

Race, Asian *

Race, Black or African American *

Race, Hawaiian or other Native to Pacific Island *

Race, Hispanic *

Race, White *

Gender *

Preferred Pronoun (Ex: They/Them She/Her He/Him) *

Education Completed *

Education Information:

Academic Need: Please Choose One *

In a paragraph, write any academic obstacles you are anticipating or currently facing in college *

What Is Your Educational Goal? *

Check Any And All Programs You Are A Part Of (Answers Are Confidential):

EOPS

DSPS

CalWorks

Honors

UBMS

CAMP

Veterans Service Office

Financial Information:

Certification: You certify that the responses on this form are accurate and complete to the best of your knowledge and that any misrepresentation may be cause for denial or cancellation of admission to the TRIO program. You understand that you may be asked to provide additional income documentation if admitted into the Student Support Services TRIO Program.

Verification: I understand Student Support Services TRIO Program will access student’s financial aid award for verification.

What Is Your Household Size? *

What Is The Total Income For Your Household? *

Did You Apply For FAFSA This Academic School Year *

Confirm Your Email: This will be the primary communication method we use