SSS Application

Application Process

We appreciate your interest in participating in the Student Support Services Program. In order to properly process your application, please carefully complete the application. Fields marked with an asterisk * are required fields; your application will not be accepted without all information. Once we receive your completed application you will receive an email confirmation that we successfully received your application. Thank you for applying.

* denotes required field
SSS Application Form
 
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Permanent Mailing Address
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Your Information

Ethnicity

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Eligibility Criteria: Funding is provided for SSS by the U.S. Department of Education. The USDE requires the following documentation to help determine eligibility for enrollment into the Student Support Services Program.

A. Citizenship Status

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B. Please mark the highest level of education completed by your parents or guardians

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Please Answer the Following Questions

Section A

First, please tell us what semester and year you are applying for.

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Have you participated in any of the following programs?

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Section B

 
 
 
 
 
 
 
 
 
 
 
 

Disability Status

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Section C

Certification Of Academic Need and Assessment

All students enrolled in the Student Support Services Program must have a need for services. Please check all items that apply. You MUST check at least one or more options to be eligible for this program.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Section D

Please answer the two questions listed below. Limit your response to no less than 150 and no more that 250 words for each question.

 
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Enrollment Agreement

By typing my name and today's date in lieu of a signature, I am hereby declaring that I have read the Enrollment Agreement and agree to its terms.

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