2024-2025 TRIO SSS Program Application

All information provided in this application is confidential.

Which term is this being filled out for?

SKC Student ID #*

Last Name*

MI*

First Name*

Social Security Number*

Date of Birth*

Date

Which type of High School Degree do you have?*

High School DiplomaGED or HiSET Equivalency

Have you already earned an Associate or Bachelor Degree?*

YesNo

You have already earned an Associate or Bachelor Degree. Unfortunately, this means that you no longer qualify for TRIO SSS assistance.

You may stop filling out the application.

Gender*

MaleFemaleNon-binary/Another Gender

Are you a U.S. citizen or permanent resident?*

YesNo

Marital Status

MarriedSingle

Is your Ethnicity Hispanic or Latino?

YesNo

You've indicated that your Ethnicity is Hispanic or Latino. Which race best describes you?

HispanicLatino

Are you an American Indian or Alaska Native?*

YesNo

Are you Asian?*

YesNo

Are you Black or African-American?*

YesNo

Are you Hispanic or Latino?*

YesNo

Are you an White?*

YesNo

Are you Native Hawaiian or other Pacific Islander?*

YesNo

What is your Current Local Street/Mailing Address?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Message Phone

Will you be a First-time Freshman?*

YesNo

Have you attended SKC before?*

NoYes

If yes, when(year)?

Are you a transfer student?*

NoYes

If yes, name of Institution

Did either of your parents graduate from a college or university with a Bachelor degree? (Before you were 18 years old)*

YesNo

Do you have a documented disability that requires academic support from SSS?*

YesNo

What was your taxable income status for 2021?*

* DEPENDENT STUDENT - Under age of 24 claimed by parents or other persons on this year's taxes.**INDEPENDENT STUDENT - Over age of 24/married/veteran or active military/ have children who receive more than half of their support from you, orphan/ward of the court.

What was your 2021 Taxable Income amount.*

* Ask your parents for a copy of their federal tax return and find this amount by looking at: Form 1040 line 43, or Form1040 A line 27, or Form 1040 EZ line 6. ** Find this amount by looking at your federal tax return: Form 1040 line 43, or Form 1040 A line 27, or Form 1040 EZline 6.

5. How many people are in your household, including yourself?*

6. Did you complete the FAFSA for the 2023-24 school year?*

YesNo

TRIO Student Support Services

A federal TRIO program that provides low-income, first generation college students and students with physical disabilities the academic support to help them persist and to graduate from the Salish Kootenai College. The program ensures an environment that increases the potential for academic success and the likelihood of remaining in college through graduation by monitoring and assessing students' academic progress, and by offering consistent and reliable support and guidance. Services include academic advising, personal counseling, financial aid assistance, tutoring, financial planning, scholarship searches, study skills and career planning.

Student Certification

I certify that I am enrolled or accepted for enrollment at Salish Kootenai College and that all information on this application is true and correct to the best of my knowledge. I give permission:

To release my name and/or picture to provide recognition in newsletters, web pages and /or other publications;
To the SKC Financial Aid office and the Registrar's office to release any information with regard to my student records that is pertinent to the TRIO Student Support Services program.

I understand that the above information will be used for statistical purposes only in the Annual Performance Report required by the U.S.

Student Signature*

Date*

Date

SKC Student Email Address

Must end with @student.skc.edu. Used only for notification purposes.

TRIO Student Support Services Program Application