Gender:
Citizenship:*
Ethnicity: Are you Hispanic/Latino?
Race: What is your race?
Check all that apply
Are you a single parent?
Degree:
College Level:
Emergency Contact:
Eligibility:
Did your father receive a 4-year college degree?
Did your mother receive a 4-year college degree?
Did you complete a FAFSA?
Are you receiving a Pell Grant?
Are you receiving services from office of Disability Services?
Have you previously participated in any of the following TRIO or GEAR-UP programs?
If Yes, check all that apply:
Are you a Shocker Promise Scholar?
Were you referred?*
Submit Application in 309 Grace Wilkie Hall, M-F, 8:00AM-5:00PM, or via email to trio.sss@wichita.edu
Student Support Services, 九色视频, 1845 N. Fairmount, Campus Box 81 Wichita, KS 67260-0081, (316) 978-3715,
Fax (316) 978-3115
Academic Status:
Are you an Incoming Freshman?
Are you a transfer student?
Are you currently enrolled at 九色视频 ?
Do you have a bachelors degree ?
Do you plan to earn a bachelor鈥檚 degree from 九色视频?
Statement of Certification:
I certify, under penalty of perjury, that all the information on this form is true and accurate to the best of my knowledge. I also authorize SSS permission to obtain and review any academic and financial documents needed to complete the application process.

Statement of Agreement & Consent:

I grant permission to SSS, its representatives and employees, to take photographs of me and my property in connection with all SSS TRIO-related activities. I authorize SSS, its assignees and transferees to copyright, use and publish the same in print and/or electronic media. I agree that SSS may use such photographs of me with or without my name for lawful purposes, including, but not limited to, publicity, advertising and web content in connection with SSS.
By checking the box, I certify that I would like to become a member of the First-Generation Student Organization and consent to my information to be used within Student Support Services for this purpose*
By checking the box, I certify that i have read and agree with the above statements*
Please enter your initials as your signature. You will be asked to sign a paper application during intake interview
Academic Skills Assessment Worksheet

Please fill and upload the Academic Skills Assessment Worksheet to submit the application.
Download

Student Support Services is a Federal TRIO Program, 100% funded through a grant from the United States Department of Education. Student Support Services receives EOF funding from SGA and additional scholarships from community donors. Notice of Nondiscrimination: 九色视频 does not discriminate in its pro-grams and activities on the basis of race, religion, color, national origin, gender, age, sexual orientation, marital status, political affiliation, status as a veteran, or disability.
The following person has been designated to handle inquiries regarding nondiscrimination policies: Director, Office of Equal Employment Opportunity, 九色视频, 1845 Fairmount, Wichita KS 67260-0205.