• Feather River College

    Feather River College

  • TRiO / Student Support Services Application

    If you have any questions, please contact the program director, Michelle Petroelje, at (530)283-0202 Ext 316 or mpetroelje@frc.edu

  • STEP 1 – Personal Data

  • Can we please text you?*
  • What is the best way to contact you?*
  • What is your birth date?*
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  • Are you a United States citizen or permanent resident with a Green Card?*
  • What was your sex assigned at birth?*

  • STEP 2 – Ethnic Background

  • Do you identify as Hispanic or Latino?*
  • What is your ethnicity? Mark all that apply. (Please select at least one)*

  • STEP 3 – Parental Information

  • Highest grade completed by mother?*
  • Highest grade completed by father?*
  • Which parent did you regularly reside with and receive support from during your childhood (i.e.: until you were 18 years old)?*

  • STEP 4 – Financial Information

  • Marital Status:*
  • Are you receiving Financial Aid at Feather River College? *
  • Do you receive the PELL Grant? *

  • STEP 5 – Background Information

  • Are you married?*
  • Do you have children?*
  • Are you a U.S. Armed Forces veteran?*
  • Are you serving on active duty in the US Armed forces?*
  • Are/were you an orphan, in foster care, or a ward of the court?*
  • Are/were you an emancipated minor or did you have a court-appointed legal guardian?*
  • Do you have a diagnosed disability? (Physical, learning, and/or psychological)*
  • If you indicated that you have a diagnosed disability above, have you registered with the DSPS office?

  • STEP 6 – Services You May Need (Check ALL that apply)

  • Tutoring Assistance:*
  • Counseling/Advising:*
  • Academic Challenges:*

  • STEP 7 – Educational Information

  • Are you currently a high school student? (NOTE: TRiO SSS cannot serve high school students)*
  • Did you graduate from high school? (NOTE: TRiO SSS cannot serve students who haven't completed high school or earned a GED)*
  • Did you earn a diploma or GED?*
  • Do you plan to earn an associate’s degree at FRC?*
  • Do you plan on transferring to a 4-year university?*

  • STEP 8 – Other Programs

  • Do you participate in another a program on campus? (Check all that apply)

  • STEP 9 – Acknowledgement

  • Please read the following statement and then sign and date below it. If you (the student) are under 18, your parent or legal guardian must also read the following statement and then sign and date below.

    By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of the student’s official academic records to the TRiO/SSS program, understanding that the information in these records will be used only to assess the student’s need for program services, discern the student’s educational progress, evaluate the effectiveness of program activities, communicate with the student, and fulfill program-reporting requirements.

  • What is today's date?*
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