TRIO Student Support Services is a full-service academic assistance program funded by the U.S. Department of Education. We are here for your current and future success. And the best part is, it’s all FREE!!!

What is TRIO Student Support Service?

TRIO Student Support Services is a full-service academic assistance program funded by the U.S. Department of Education. We are here for your current and future success.

Want help with your FAFSA? - We can do that!

Not sure how the transfer process works? - We got you!

Need to find a scholarship to help pay for college? - We got a list!

Want new experiences to fulfill your college experience? - Get on the bus!

Need help finding your dream transfer school? - We can do that too!

And the best part is, it’s all FREE!!! Please complete the application below to see if you qualify.
A Federally Funded TRIO Program

STUDENT APPLICATION
The TRIO Student Support Services (SSS) program at Illinois Eastern Community Colleges (IECC) requests the following information for the purpose of considering you for participation in the SSS progam. Participants must be at least a half-time student in need of academic support services, AND be able to meet at least one of the following criteria:

1. Neither parent received a Bachelor’s Degree (4-year degree)

2. Eligible based on income level

3. Documented disability
PRIORITY WILL BE GIVEN TO STUDENTS WHO INTEND TO TRANSFER AND COMPLETE A BACCALAUREATE DEGREE
What year are you attending or plan to attend an IECC school?*
Semester*

FallSpringSummer Year
College attending*

Frontier Community CollegeLincoln Trail CollegeOlney Central CollegeWabash Valley College
Last Name:*
First Name:*
Middle Initial:*
Address:*
City:*
State:*
Zip:*
E mail Address:*
example@example.com
Cell Phone:*
Emergency Contact Phone:
Relationship to Emergency Contact:
Birth Date (M D Y):*

MonthDayYear
Date
Student ID #: (Leave blank if you don't know)
Identify:*

MaleFemaleNo responseOther
Ethnicity:*

Hispanic or LatinoNot Hispanic or Latino
Race (check all that apply):*

Native American/Alaska NativeAsianWhiteBlack or African AmericanNative Hawaiian or other Pacific Islander
Are you a U.S. Citizen?*

YesNo
If "No", are you a Permanent Resident?

YesNo
If "Yes", what is your USCIS#:
What other TRIO programs have you ever participated in?

Talent SearchUpward BoundStudent Support Services
Have you previously attended other colleges or universities?*

YesNo
If "Yes", where did you attend previously?
Class Standing:*

Freshman 0 - 31 hrsSophomore 32+ hrs
Have you earned a High School Diploma or GED?*

High School DiplomaDuel CreditGED
What year did you earn your High School Diploma or GED:*
Do you plan to attend:*

Full-time (12 or more credit hours)Part-time (6 – 11 credit hours)
What is your college degree program?
Major?
Do you plan to transfer to a 4-year university?*

YesNoUnsure
If "Yes", do you know where you would like to transfer?
What is the highest level of education COMPLETED by your Mother (Birth or Adoptive)?*

Grade SchoolHigh School2 - Year College4 - Year College or HigherUnknow
What is the highest level of education COMPLETED by your Father (Birth or Adoptive)?*

Grade SchoolHigh School2 - Year College4 - Year College or HigherUnknown
Dependency Status – Please answer “YES” or “NO” to the following questions.
Do you have children or other dependents (other than a spouse) who lives with you and receives more than half of their support from you?

YesNo
Since you turned 13, were you ever an orphan, in foster care, or a ward of the court?

YesNo
Are you or were you a legally emancipated minor?

YesNo
Do you or did you have a legal guardian other than a parent or step-parent?

YesNo
Are you a veteran who was on active duty and released under a condition other than dishonorable?

YesNo
Are you serving on active duty in the military (other than training)?

YesNo
Are you married or separated (not divorced)?

YesNo
Have you been determined to be an independent student by a FCC, LTC, OCC, or WVC Financial Aid Office?

YesNo
If you answered “NO” to ALL Dependency Status questions you are considered a “Dependent Student” and will need to provide Parent/Guardian information on the Student / Family Income Section.

If you answered “YES” to ANY Dependency Status questions you are considered an “Independent Student” and will need to provide
ONLY YOUR information on the Student / Family Income Section.
Student / Family Income – Taking into account if you are a “Dependent Student” or “Independent Student” please provide the following information.

Dependent Student –Parent/Guardian’s MUST complete this section based on their most recent income tax return.

Independent Student – You the Student MUST complete this section based on your most recent income tax return.
Did the individual completing this section file an income tax return?

YesNo
How many people are in your family (including yourself)?
If you filed or plan to file, what is your adjusted gross income? (IRS Form 1040, line 11)
If you filed or plan to file, what is your taxable income? (IRS Form 1040, line 15)
What type of financial assistance are you receiving? (Check all that apply)

ScholarshipLoanFAFSA/PellDORSVeteran'sNo assistanceOther
If "Other" please specify.
Would you like to report a documented disability that could affect your education? This information is voluntary and you are not required to answer this question. Any information provided will be kept confidential and used for this program only. Any refusal to provide information will not subject you to any adverse treatment. Any information provided will only be used for this program and for no other purpose. Note: Documentation of disability is required. Disability documentation for any IECC student is retained in confidential files.
NoYes
What services have you received to accommodate this disability?
In which of the areas listed below do you need assistance (check all that apply)?*

Academic AdvisingPersonal CounselingTime ManagementTest Taking SkillsClass RegistrationCultural EnrichmentFinancial Aid ProceduresTransfer AssistancePeer MentoringSocial SkillsCareer ExplorationTutoringStudy SkillsChoosing a MajorBudget Planning
I certify that the information that I have provided on this SSS application is correct and complete. By signing this form, I authorize TRIO Student Support Services to obtain any and all information and documentation necessary for processing and the ongoing evaluation of my academic pursuits. I also give my permission for the TRIO Student Support Services staff to share my information (including but not limited to IEP, 504, Test Scores, FAFSA) with other staff, faculty, and mentors if it will assist in my
Student Signature:*

Clear
Date:*

MonthDayYear
Date
Parent/Guardian Signature: (* Required for Dependent Students)

Clear
Date:

MonthDayYear
Date
Affirmative Action
Illinois Eastern Community Colleges, pursuant to the requirement of Titles IV, VI, and VII of the Civil Rights Act of 1964 and Title IX of the Education Amendment of 1972, does not discriminate against applicants, employees, or students on the basis of race, color, religion, sex, age, handicap, or national origin in its employment policies and/or educational programs or activities, including admission to such. Inquiries concerning this policy should be directed to the affirmative action office of the college: IECC, 233 E. Chestnut St., Olney, Illinois 62450. Phone: (618) 393-2982
ADA Compliance Statement
Illinois Eastern Community Colleges adhere to the Federal Regulations of the Americans with Disabilities Act of 1990 and offer appropriate services, programs or activities with reasonable accommodations to any qualified disabled individual upon request.
Needs Assessment Survey
Student's Name:
Today's Date:
School:

FCCLTCOCCWVC
Please check any of the following items which describe you:

Out of school too longAfraid of failing in collegeDifficulty finding childcareAfraid I might not fit in at my collegeDifficulty meeting new peoplePanic during testsFew computer skillsMy family does not understand college demandsUnsure of college proceduresDifficulty participating in discussionsLittle or no experience on the InternetDifficulty managing moneyDifficulty meeting deadlinesMay need personal counseling
What obstacle(s) would most likely prevent you from completing your academic goals? (Check all that apply):

Poor study habitsPoor note taking skillsLack of moneyTaking the wrong classAlways feeling tiredRecurring health concernsAlcohol and /or drug problemsNo support from family / friendsPoor time management skillsBad gradesTake things too seriouslyProblems at homeTrouble sleepingAfraid to speak up in classFeeling depressed or sadDealing with billsBalancing academics and extracurricular activitiesFamily medical problemsSeparation or divorcePersonal support/encouragementEasily distractedToo shyAlways worryingTest anxiety
Difficulty in one or more of the following academicareas:

MathReadingEnglishScience
What other areas will you need assistance with? (Financial)

Personal budgetFAFSAGrants / ScholarshipsLoans
What other areas will you need assistance with? (Personal Issues)

Stress ManagementSubstance AbuseRelationshipsAnxietyDepressionMotivationExploring DiversityGoals / Decision Making
What other areas will you need assistance with? (Transfer)

Selecting Transfer SchoolApplicationsSearch processFundingPlanning
What other areas will you need assistance with? (Career)

Choosing a CareerInterviewingResume / Cover LetterJob SearchingCo-op / InternshipsLeadership Development
Academic goals for this year:
Short Term (This semester):
Long Term (This academic year):
How would you describe yourself:
Explain why you selected your major and/or career field (OR If you are undecided) What are your biggest strengths:
Why do you think you should be considered for the SSS program:
Should be Empty:

PRIORITY WILL BE GIVEN TO STUDENTS WHO INTEND TO TRANSFER AND COMPLETE A BACCALAUREATE DEGREE

Affirmative Action

ADA Compliance Statement

Needs Assessment Survey