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PROGRAM YEAR 2021-2022

TRiO Student Support Services is a federally funded program through the U.S. Department of Education. To determine your qualifications for this program, please complete this application in its entirety. The information you provide is strictly confidential. Only completed applications will be accepted and does not guarantee admission to the program. For more information, you may contact us at 671-735-2248/58.

Before submitting your application to the program, make sure you have the following:

  • Current class schedule
  • Verification of Disability (if applicable)
  • Signed copy of most recent Federal Income Tax Return/Form
  • Valid passport or birth certificate

**This application cannot be saved.**


1.) First Name *
2.) Middle Name
3.) Last Name *
4.) Date of Birth *
5.) Social Security Number
6.) UOG Student ID Number
7.) Mailing Address:
Address *
City *
State *
ZIP Code *
8.) Home Phone *
9.) Cell Phone *
10.) UOG Triton E-mail Address *

11.) Race/Ethnicity:

American Indian or Alaskan Native *
Asian *
Black or African American *
Hispanic *
White *
Native Hawaiian or Pacific Islander *
12.) Marital Status *
13.) Gender *
14.) Citizenship *
If Other, please specify:
15.) Do you speak English as a second language? *


16.) College Grade Level *
17.) Highest Level of Education:
High School Diploma
Associate's Degree
Transfer Student (last attended)
18.) Services that I am interested in:
Academic Tutoring
Advice & Assistance in Course Selection
Assistance in Completing Financial Aid Application (FAFSA)
Cultural Activities
Financial Aid Programs & Benefits
Financial & Economic Literacy/Financial Planning
Graduate & Professional Programs
Study Skills Workshops/Information
19.) Educational Goals:
Bachelor's Degree
Master's Degree
Transfer to another institution
Specify when:
20.) Cumulative GPA
N/A (new student)
21.) Anticipated Attendance *
22.) Expected UOG graduation semester *
23.) Expected UOG graduation year *
24.) Have you previously participated in any TRiO programs? *
If yes, where:


First Generation:
25.) Have any of your parents or legal guardians received a Baccalaureate Degree? *
Name of Institution
Name of Institution

Dependent/Independent Status:

26.) The federal government uses the following criteria to determine INDEPENDENT student status. Please check all that apply to you:

Have you completed a bachelor's degree? (If so, you are not eligible for SSS.)
24 years of age or older
Have dependent child/ren
Emancipated minor or in legal guardianship
Serving Active Duty in U.S. Armed Forces
Currently homeless
Foster youth
Veteran of U.S, Armed Forces

If you DID NOT CHECK any of the above, you are considered a DEPENDENT student and MUST submit your parent’s or legal guardian’s latest signed Federal Income Tax Return/Form. Otherwise, you are considered INDEPENDENT and MUST submit your latest signed Federal Income Tax Return/Form.