2025-2026 TRIO SSS Verification

TRIO SSS Verification
Name*

First NameMiddle InitialLast Name
Student ID Number*
Check box that applies*

New SSS ApplicationContinuing SSS Student
Address*

PO Box or Street Address

Street Address Line 2

CityState

Zip
Current Home/Mobile Phone #*
Format: (000) 000-0000.
Permission to text this number?*

YesNo
SKC Student Email Address
Must end with @student.skc.edu.
Is your permanent address the same as your current mailing address?*

YesNo
Permanent Mailing Address

PO Box or Street Address

Street Address Line 2

CityState

Zip
Permanent Home/Mobile Phone #
Format: (000) 000-0000.
Personal Email Address*
example@example.com
Are you receiving a PELL grant for the 2025-2026 School Year?*

YesNo
Declared Major(s)?*
Your current academic plans are*

Upgrade Skills1 or 2 Year Certificate2 Year Degree4 Year DegreeTransfer to Another Institution
Where do you intend to transfer?
Do you plan to graduate with your Associates (2-year) degree at Salish Kootenai College this year?*

YesNoNot Applicable
To receive program services for the 2025-26 School Year, the information provided is to the best of my knowledge and that I have read and agree to the conditions stated on the SKC/SSS Intake form regarding use of my information. I also read and understand the conditions set forth to remain as an active SSS student for services provided during the current school year as well as to maintain eligibility for grant aid.
Student Signature*
Date*

MonthDayYear
Date
Reminder: Please contact the TRIO SSS department if any of your contact information changes during the school year. Thank you, TRIO SSS Department
Should be Empty: