TRIO STUDENT SUPPORT SERVICES APPLICATION

Please complete all questions and submit with your electronic signature. Minnesota North College's TRIO SSS office will review your application and determine eligibility to participate. After becoming a member, your TRIO SSS academic advisor will be assigned based on your home campus and the two of you will meet to go over your academic needs as self-identified within this application and as determined at that meeting together.

OFFICE USE ONLY - APPLICATION REVIEW & ELIGIBILITY DETERMINATION               5021-LIFG                5022-LI               5023-FG                5024-D                5025-DLI

  

This application will be processed for the Itasca Campus in Grand Rapids, MN.

General Information
First Name *
Middle Initial
Last Name *
Star ID, ie., ab####yz *
College Student ID #
Date of Birth *
Gender Identity (select or enter below)
Prefer to Self-Identify Gender
Preferred Email Address *
Cell Phone Number
Check if you prefer to opt out of text messages
Preferred Mailing Street Address
City
State
Zip

Background Information

Please respond to ethnicity, race, and other background questions as indicated below:

Are you... Hispanic or Latino? *
American Indian or Alaskan Native *
Asian *
Black or African American *
Hawaiian or other Native to Pacific Island *
White *
What is your residency status? *
Do any of these apply to you? (Homelessness or Foster Care)
Are you a Veteran? *
If yes, check box if the college has received your joint services transcript (JST).
Indicate marital status:
How many children do you have?

Read this first before answering next question...

Yes, you are a first generation college student if parent(s) or guardians(s) you primarily lived with until the time you turned 18 years of age do not have a bachelor's degree (four-year degree) or higher from a college or university.

No, you are not a first generation college student if parent(s) or guardians(s) you primarily lived with until the time you turned 18 years of age have a bachelor's degree (four-year degree) or higher from a college or university. 

If you are not sure of your first generation status, we can figure this out with you after you submit your TRIO SSS application.

Check box if you know you are a First Generation college student.
How many prior college institutions have you attended?
If you did take college classes before, from where? List college(s):
Have you earned any college degrees/certificates?
Check box if you have a documented disability (i.e., physical, mental health, learning)
Have you completed your application for financial aid using the FAFSA? *
How would you self-identify your eligibility to participate in TRIO SSS? *
Institution Entry Response: *
What semester will be your first term of enrollment? *

Supportive Services

What would you like more information about or help with by participating in TRIO SSS?

Check all that apply to you.

Academic planning/choosing a major
Career exploration/choosing a career
College success skills
FAFSA completion
Financial aid, student loans, bills & payments
Health and wellness
Improving grades
Math skills
Personal development of talents, strengths & abilities
Personal finances and budgeting
Reading skills
Reducing test anxiety
Resume writing & other job placement assistance
Scholarships
Social & cultural activities
Study skills
Support in online classes
Test taking strategies
Time management
Transfer planning to a four-year college
Understanding learning styles
Using college technology, software & apps
Workforce soft skills development
Writing skills
Other support not previously listed
Select one area of academic need that you most identify with *

Sign and Submit

I certify the information given on this application is true and correct to the best of my knowledge.  I hereby authorize TRIO Student Support Services to obtain my records or data pertinent to my participation in the program from College Admissions, Accessibility Services (if applicable), Financial Aid, Registrar, and the National Student Clearinghouse.  I also authorize the college or professional associated with it to access and release data for purposes of my academic success or TRIO project audit or evaluation.  Photographs taken by my participation in TRIO activities may be used in TRIO publications.  I understand this authorization may be revoked by me at any time through written or verbal communication.

To electronically sign this application, provide your signature using one of the available options. Note, "Simple Sign & Submit" may provide a brief delay before the signature box comes up on the screen.
Select signature type and then Submit Application button to proceed *
Please select a signature verification type.