TRIO SSS Student Success Plan

Student Support Services
Student Success Plan
Name *

First Name Last Name
Phone Number *
Student ID # *
This semester my goal(s) are... *
What steps do you plan to take that will help you achieve your goal(s)? *
During my time at West Virginia State University I hope to... *
What steps do you plan to take to help you achieve your goal(s)? *
After graduating West Virginia State University my goal is... *
What steps do you plan to take to help you achieve your goal(s)? *
Are you currently employed? *
How many hours per week do you work?
Where do you work?
Are you currently looking for employment?

Yes No
This semester I would like to... (Check all that apply) *

Participate in tutoring Participate in cultural activities Attend skill building workshops Find a major and/or minor Receive assistance with my FASFA Develop a graduation plan Prepare for graduate school Explore careers Develop a resume Improve my grade point average Improve my test taking skills Improve my study skills Improve my reading comprehension Improve my writing skills Improve my note taking skills Reduce math/test anxiety Improve my math skills Improve my decision making skills Improve my leadership skills Improve my time management skills Improve my financial literacy Improve my job search skills Meet people and/or make friends Other
What would prevent you from achieving your academic goals this semester? *

Afraid to ask questions in class Difficult Classes Easily Distracted Health Concerns Lack Computer or Internet Access Lack of Family Support Lack of Money Lack of Motivation Lack of Self-Confidence Lack of Technology Skills Absent From Class Tardy To Class Procrastination Test Anxiety Unsure of the College Process Working/Job Other
Do you need tutoring this semester? *
Do you plan to graduate from WVSU? *
Financial & Resource Assessment

Please complete the following to the best of your ability.
Do you need grants/scholarships? *
Are you currently receiving loans to pay for school? *
Has all of your tuition and fees been paid? *
Do you have credit card debt? *
Do you have books and/or supplies for your classes? *
Do you need help getting grocies/food? *
Do you need help paying your utilities? *
Do you have transportation to attend your classes? *
TRIO SSS Membership Agreement
By checking each box, you confirm that you have been informed of the requirements to be an active participate in TRIO Student Support Services. *
Your TRIO Advisor/Coach is available to meet with you more frequently and will assess your progress towards meeting your goals. By signing below, you agree to meeting each semester with your TRIO Advisor/Coach to discuss progress towards your goals and academic plan. You understand that if you choose not to fulfill this contract, that it may greatly reduce your chances for success.
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Student Support Services

Student Success Plan

Financial & Resource Assessment

TRIO SSS Membership Agreement