Welcome to TRiO/Student Support Services

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1 Welcome to TRiO/Student Support Services The mission of Trio/Student Support Services is to work in partnership with students to achieve academic success, improve student retention, and promote personal growth. Our services support the program goals of retention in college, graduation from college, and transfer to 4 year colleges and universities. How We Can Help Individualized Academic Planning Managing all areas of your life can be overwhelming. We can help you build balanced plans that will allow you to meet your academic goals and personal life circumstances. Financial Planning Our financial literacy services not only offer assistance in applying for federal aid but finding scholarships and managing money for school and life. Tutoring Our peer tutors will help you understand class content and can help you build important study skills. We offer free tutoring in math and science. Transfer Planning It is never too early to start thinking about your transfer plans. We offer services to help you plan for transfer and build a network at the four year institution so when you enroll you have advocates who are working with you to continue your academic success. Workshops and Activities To help keep you motivated and meet people who are working towards the same goals, we offer a variety of opportunities. Check our event calendar on our website at Who We Serve Students who meet the following criteria are encouraged to apply for services. US citizens or permanent residents or meet residency requirements for Federal student financial aid. First generation college students You are considered a first generation college student if neither of your parents (or the parent you live with) received a 4 year degree prior to your 18 th birthday. It doesn't matter if anyone else in your family, like a brother or a sister, has a 4-year degree, just your parents. Low Income Income guidelines are set by the Federal Government. If you qualify to receive federal financial aid, the chances are good that you meet the necessary income guidelines. Graduating from SLCC and Transferring to a Four Year School You need to be an admitted, degree seeking students who will graduate from SLCC and transfer to a 4 year institution to be eligible. **te: Students who meet the first generation OR the federal income guidelines AND all of the other criteria may qualify. If you have questions or would like more information about the SSS program contact us: by phone: by by fax: in person: Salt Lake Community College Taylorsville Redwood Road Campus 4600 South Redwood Road Construction Trades Building, Second Floor Room 226 Salt Lake City, Utah Student Support Services is a federal TRiO program funded by the U.S. Department of Education to increase retention, graduation, and transfer of students from low-income families who are also first generation college students.

2 All students applying for TRiO Student Support Services must submit income verification. Answer the questions below: Were you born before January 1, 1992? As of today, are you married? (answer yes if you are separated, but not yet divorced.) At the beginning of the school year, will you be working on a master s or doctorate program (such as an MA, MBA, MD, JD, PhD, EdD, or graduate certificate, etc.)? Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training? Are you a veteran of the U.S. Armed Forces? Do you have children who will receive more than half of their support from you between July 1, 2015 and June 30, 2016? Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you, now and through June 30, 2016? At any time since you turned age 13, were both your parents deceased, were you in foster care or were you a dependent or ward of the court? As determined by a court in your state of legal residence, are you or were you an emancipated minor? As determined by a court in your state of legal residence, are you or were you in legal guardianship? At any time on or after July 1, 2014, did your high school or school district homeless liaison determine that you were an unaccompanied youth who was homeless? At any time on or after July 1, 2014, did the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development determine that you were an unaccompanied youth who was homeless? At any time on or after July 1, 2014, did the director of a runaway or homeless youth basic center or transitional living program determine that you were an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless? After answering the questions, check the box that applies: If you answer NO to every question, you are a DEPENDENT student. Bring in a signed copy of your parent s U.S. (federal) tax return for last year. If you answer YES to ANY question, you are an INDEPENDENT student. Bring in a signed copy of your U.S. (federal) tax return for last year. If you or your parents did not file taxes, discuss alternative forms of income verification with a TRiO/SSS Advisor. Rev July 2015 I:\SSS\Forms\Student\Intake\1516 welcome page - revised.docx Questions from the FAFSA

3 Trio/ Student Support Services Application (Please fill out form completely) If you are not currently enrolled at SLCC when do you plan on attending? Name SSN last first middle S# Address Home phone City/State/Zip Cell Phone Your address Preferred: Home or Cell Permanent Contact Relationship last first middle Address Phone City/State/Zip Citizenship: US Citizen Permanent Resident A# Other (please bring your permanent resident card so we can make a copy) First Generation: What is the highest level of education completed by your Father Mother Low Income: Are you a Dependent or an Independent student? What income verification documentation have you attached? Academic Plan: What year did or will you first start college? Where? What degree are you working toward? What is your course of study (major)? Are you planning to graduate from SLCC? Are you planning to transfer to a 4-year school? If yes, where do you plan to transfer? Who referred you to the Trio Program? Have you participated in a TRIO program (Talent Search, Upward Bound, Student Support Services, etc.)? If yes, where The following information is for federal reporting purposes only and must be completed. It does not determine your eligibility for the program. If you have questions, please ask us. Gender: Male Female Ethnicity: Are you Hispanic/Latino? Race: (Select 1 or more) White Asian American Indian/Alaska Native African American/Black Native Hawaiian/ Pacific Islander Date of Birth Married Single #Children Age(s)

4 Informed Consent I authorize Trio/Student Support Services (SSS) to gather information concerning my academic progress and financial aid status. I understand that this information is used to assist in the determination of my eligibility for SSS and it will be strictly confidential. I grant permission for SSS to gather information for follow-up whenever appropriate, including transfer and progress at 4-year institutions. I am aware that SSS reports to the U.S. Department of Education in accordance with the grant funding regulations. I certify that the information provided on this application is true and complete to the best of my knowledge. I agree to provide documentation upon request to verify the information reported. I am aware that the personal information provided to SSS is protected under the Family Education Rights and Privacy Act of Signature Date Photographic Release Form I hereby give Student Support Services and Salt Lake Community College the unqualified right and permission to reproduce, copyright, publish, circulate or otherwise use my name and/or photographic likeness of me still, single, multiple, or moving in which I may be included in whole or in part, or composite. I understand that my photo may be used in publications under the direction of Student Support Services or Salt Lake Community College. I waive any right to inspect and approve the finished product or copy that may be used or the use to which it may be applied. This authorization and release covers the use of said materials in any published or broadcast form. Signature Date For For Office Office Use Use Only Only Status [document in in dictation] Accepted First Generation Low Income Physically/Learning Disability t Accepted: Reason Academic Need [document in in dictation] Low high school grades Other Low admission test scores Limited English proficiency Predictive indicator Lack of of educational and/or career goals Academic proficient tests Lack of of academic preparedness for for college Low college grades level course work High School equivalency [GED] Need for for academic support to to raise Failing grades grade(s) in in required course(s)/academic Out of of academic pipeline yrs yrs major Advisor signature Project Entry Date Rev July 2015 i:\sss\forms\student\intake\application docx

5 This is not a test! These questions and your answers will help us understand where you are academically and how our services can help you successfully reach your goals. Did you receive a high school diploma GED Year Where? Have you ever attended college? Year Where? Are you transferring any credits to SLCC from another college or university? Describe your high school and/or previous college experience How have your educational experiences and life experiences prepared you for college? Do you feel unprepared for college? If so, how? Describe your career goals Describe your academic goals What degree are you seeking? AS AA AAS Other What is your major Are you familiar with your academic program pre-requisites? Are you familiar with your academic program requirements? Have you taken the Accuplacer (for math and English placement)? What classes did you place in? Math English Reading What is your projected graduation and/or transfer date? Have you planned a timeline to graduation and/or transfer? Have you applied for Federal Financial Aid? Have you been awarded? Please list any other agencies you are receiving assistance from: Do you know the difference between dropping or withdrawing from a class? Do you have any questions or comments? _

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