Student Support Services Application/Interest Form
Date
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Student ID Number
*
RIC Email
*
example@example.com
Major
How did you hear about SSS?
What do you know about SSS?
Please select all that apply. You must select at least one to qualify for TRIO SSS. The eligibility criteria are determined by the U.S. Department of Education. If you are not sure, an SSS advisor can help you. You may also refer to the SSS Eligibility page for more information.
*
First Generation
Low Income
Documented Disability
Submit
Should be Empty: