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  • Student Support Services Program

    Fall 2024 - Student Application

  • APPLICATION DUE DATE: Saturday, August 31, 2024

     

    Required Documents:

    Parent/Guardian's most recent federal tax return (IRS Form 1040). 

    • Only the first two pages are required.
    • Please make sure you are listed as a dependent.
      • If you are not claimed as a dependent and financially independent (meaning you receive no financial or material support from others), please upload your most recent federal tax return.

    If your parent/guardian did not file taxes for the most recent tax year, please provide one of the following: 

    • A benefits verification letter from a social service agency (e.g., Supplemental Nutrition Program (SNAP), Home Energy Assistance Program (HEAP), Supplemental Security Income (SSI), or Temporary Assistance for Needy Families (TANF)).
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  • The information requested on race, ethnicity, and gender is not used in selection. It is only used in reports to the Department of Education in Washington, DC. The University of Rochester or its programs does not discriminate on the basis of sex, gender, race, religion, color, national origin, age or disability in its decisions.

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  • Family Information Section

  • Needs Assessment

  • Values Section

    In the following section, rank the importance of the following values/aspects of your life from 1-5: 1 being the least important and 5 being the most important. The following questions are meant to apply to your reasons for attending college.
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  • Please upload your parent/guardian's most recent tax return (IRS Form 1040).

    • Only the first two pages are required.
    • Please make sure you are listed as a dependent.
      • If you are not claimed as a dependent and financially independent (meaning you receive no financial or material support from others), please upload your most recent federal tax return.

    If your parent/guardian did not file taxes for the most recent tax year, please provide one of the following:

    • A benefits verification letter from a social service agency (e.g., Supplemental Nutrition Program (SNAP), Home Energy Assistance Program (HEAP), Supplemental Security Income (SSI), or Temporary Assistance for Needy Families (TANF)).
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  • ACKNOWLEDGEMENT

    I hereby acknowledge that I have completed this application to the best of my abilities and that my responses are true and accurate.

    I understand that providing any false information or altered records in this application will result in my ineligibility to be admitted to the program and that if discovered after my admission to the program, will result in termination from the program.

    By signing my name below, I acknowledge the statements described above. I further acknowledge that all information and documents provided by me for this application are true and accurate. 

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