• Application 2026-2027

    Application 2026-2027

    TRIO ETS - Salt Lake Community College, Utah

  • Student Information

  • Format: (000) 000-0000.
  • Does the student have a cell phone?*
  • Format: (000) 000-0000.
  • 6. Date of Birth:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • 10. Race (Select all that apply):*

  • 11. Citizenship

  • TRIO ETS College Bound is funded by the U.S. Department of Education. Regulations require that program participants must be a U.S. citizen or a US Permanent Resident or provide evidence from the USCIS (Citizenship and Immigration Service) of intent to become a permanent resident.

  • Are you a U.S. citizen?*
  • Are you a U.S. Permanent Resident?*
  • Have you applied or do you intend to apply become a permanent resident?*
  • 12. 2026-2027 Grade*
  • 15. With whom are you living?*

  • 17. Parent/Guardian Information

  • Legal Guardian 1

  • Relationship to student:*
  • Format: (000) 000-0000.

  • Legal Guardian 2

  • Relationship to student:
  • Format: (000) 000-0000.

  • Please read the following section CAREFULLY.

    This section determines your eiligibility for this program. This program is intended to support students who are first generation (which means your parents did NOT complete a four-year degree) and for low income students (meaning your family is below a certain income level and/or you receive free or reduced school lunch as a student).

  • 18. Parent/Guardian Education Level

  • Guardian 1- Level of education: Completed Bachelor’s degree (4-year college)*
  • Guardian 2- Level of education: Completed Bachelor’s degree (4-year college)

  • 19. Income Information

  • *REQUIRED- To be filled out by parent or guardian* (Information is kept confidential) 

  • Is your family's taxable income MORE than the "Max Annual Taxable Income" for your family household size?*
  • Does student qualify for free or reduced lunch?*

  • 20. Parent/Guardian Data Request and Consent for Release of Student Records

  • Your student is enrolled in a school participating in the TRIO Educational Talent Search (ETS) College Bound Program, a federally funded program provided by Salt Lake Community College ("SLCC TRIO"). In order to provide effective services and meet federal grant reporting requirements, SLCC TRIO is requesting access to certain student education records, as described below.

    1. Records Requested. SLCC TRIO is requesting access to the following categories of your student's education records: student and parent or guardian directory information; grades and progress reports; attendance records; class schedules; graduation and registration records; and discipline records.

    2. Your Rights Under FERPA. The Family Educational Rights and Privacy Act ("FERPA"), 20 U.S.C. § 1232g, protects the privacy of student education records. SLCC TRIO staff are designated as school officials with a legitimate educational interest under FERPA for most record categories. This form requests your express authorization for access to discipline records and confirms your consent to the full scope of data access described above. You may revoke this authorization at any time by written notice to SLCC TRIO. Revocation will not affect records already accessed prior to revocation. Students who are 18 years of age or older, or who are enrolled in postsecondary courses, are eligible students under FERPA and control their own records.

    3. Purpose. Records will be used solely to evaluate student success and needs, tailor program services, assess program impact, meet TRIO ETS federal grant reporting requirements, and connect students and families to additional resources. Records will not be used for any other purpose, shared with unauthorized third parties, or used for commercial purposes.

    I have read the above and authorize SLCC TRIO to access my student's education records for the purposes described.

  • Today's Date:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Today's Date:*
     - -
    2 digit month, 2 digit day, 4 digit year
  •  
  • Should be Empty: