• Mid Michigan College
  • TRIO SSS PARTICIPANT APPLICATION

  • PERSONAL DATA

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  • ETHNIC GROUP

  • CITIZENSHIP

  • If you are not a US Citizen or a Permanent Resident, contact Mid's TRIO team for assistance by emailing trio@midmich.edu or calling (989) 317-9211.

  • FIRST GENERATION STATUS

  • DISABILITY INFORMATION

  • If you are not currently registered and would like information about services, contact Student Accommodation Services at accommodations@midmich.edu or (989) 317-4613.

  • EDUCATIONAL INFORMATION

  • INCOME VERIFICATION

  • According to the federal policy Higher Education Act(1), TRIO SSS must provide documentation of a student’s eligibility for the program to the U.S. Department of Education, which includes first generation and low-income status. We must verify this for all students who apply to TRIO SSS.

    Definitions to help you determine your income status:

    • Dependent: A student that can be claimed by his or her parent(s) as an exemption on tax forms and/or does not meet one of the following criteria as an independent student.
    • Independent: A student is only considered independent according to Federal Financial Aid if they meet one of the following criteria:
      • Is 24 years old or older by December 31 of the award year
      • Is married
      • Has legal dependent(s) other than their spouse
      • Is a veteran of the Armed Forces of the United States
      • Is an orphan or ward of the State of Michigan or ward of his/her residential State
      • Has received a dependency override through Mid Michigan College Financial Aid

    This section must be completed by the student if the student has been deemed independent by Financial Aid. If the student is dependent, the parent(s) must complete and sign this form. See above for definitions to determine your income status.

  • Needs Assessment

  • Please choose any and all statements that you believe apply to you.

  • Please check any and all of the following where you would like help or support.

  • Participant Agreement, Release of Information, & Affidavit of Truth Statement

  • I understand that applying to Mid Michigan College TRIO Student Support Services (SSS) does not guarantee acceptance into the program. I may be fully accepted, provisionally accepted, or denied based on the need for services, academic record, academic preparedness and progress, credit hours, financial aid status, and level of engagement.

    Students on Financial Aid Warning, Approved Appeal, or on Academic Probation may be provisionally accepted until they are meeting Satisfactory Academic Progress.

    I understand that if I do not meet the expectations and academic goals, I may be ineligible for the Mid TRIO-SSS program.

    I am committed to my education, academic goals, and completion of my certificate and/or degree. I need to be fully engaged and strive for 100% classroom attendance and participation. I will meet the program expectations within my four years of eligibility:

    • Complete 100% of the courses I enroll in each semester or seek assistance if not, and maintain a semester cumulative GPA of 2.0 or higher
    • Complete ORT 101/102 (winter semester workshop series)
    • Contact with Success Coach two times per semester
    • Contact with Career Coach at least one time
    • Participate in one give-back (volunteering activity)
    • Participate in at least one workshop
    • Participate in at least one cultural enrichment activity
    • Participate in at least one of the following: job shadow or college/university visit

    I hereby authorize the Mid TRIO SSS program staff to:

    • Gather information about my academic progress (placement test scores, GPA, earned credits, transcripts, tutoring sessions, etc.) and financial aid status prior to acceptance and during the program including, but not limited to, transfer to a four-year institution.
    • Information about academic accommodations, if I meet disability status.
    • Report my eligibility and financial aid status to the U.S. Department of Education.
    • Use photographs of me (individual and group) for informing others about TRIO SSS.
    • Use aggregate data to promote and inform Mid students, faculty, and staff about TRIO SSS.
    • Require that I provide documentation, upon request, to verify the information reported.

    I understand that this form will become part of my TRIO SSS file at Mid Michigan College. I am aware that personal information provided to the Mid TRIO SSS Program will be protected under the Federal Education Rights & Privacy Act (FERPA) of 1974. No one will have access to the information unless they work for Mid Michigan College and/or the TRIO SSS Program and have a legitimate need to know under TRIO SSS and Mid Michigan College guidelines.

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  • Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact TRIO-SSS at (989) 317-9211 or trio@midmich.edu.

    In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

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