TRiO College Connections Project
  • New Participant Form

    *Fields with asterisks must be completed.
  • STUDENT INFORMATION

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  • EDUCATIONAL INFORMATION

  • FOR MEOC STUDENTS ONLY

  • FINANCIAL INFORMATION

  • SERVICES REQUESTED

  • DISCLAIMER AND SIGNATURE

  • I certify that my answers are true and complete to the best of my knowledge. I authorize the TRiO EOC to hold and maintain in my case file, verification of income, academic transcripts, program eligibility documents or other pertinent information necessary to assure educational attainment and student success. The TRIO EOC is granted permission to exchange information from my file to state and federal agencies when required by law or regulations, to obtain information on my future high school completion status, college admissions status, enrollment, grades, test scores, financial aid status, and completion status for record-keeping, and reporting, purposes. I waive any privacy rights I have regarding my postsecondary information as they pertain to the TRiO EOC and do not hold the program responsible for any items lost or stolen in transit to any postsecondary institutions. I give permission for my name and picture to be used for promotional purposes. An electronic signature of this form is also acceptable.

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