Caldwell Community College and Technical Institute

Please visit our COVID Response page for info about the CCC&TI response to COVID-19.

Please visit our COVID Response page for info about the CCC&TI response to COVID-19.

TRIO/SSS Application

CCC&TI TRIO/SSS Application

TRIO/SSS Eligibility:

  1. If neither mom or dad obtained a bachelor's degree from a college or university prior to you turning 18 years old, then your are considered a first-generation college student and are eligible for TRIO/SSS services.
  2. If you have completed the FAFSA (Free Application for Student Aid), and you qualify for federal aid, then you qualify for TRIO/SSS services.
  3. If you and identified disability, or unsure if you do, you may qualify for TRIO/SSS services.
 

Enter Contact Information

Enter your mailing address:

*Which CCC&TI Campus will you primarily be taking classes at:
Preferred Method of Contact (check all that apply):

Enter Demographics Information

*Are you:
*Race: Are you:
*High School Graduate?
*GED?
*College credits at another institution?
*Enrollment Status at CCC&TI:
Are you currently enrolled or accepted at CCC&TI for enrollment in the next academic term?
*Curriculum:

First Generation Status

Before you turned 18, did either parent or guardian with whom you reside/resided have a bachelor's degree?

*Mother/Female Guardian:

*Father/Male Guardian:

Disability Status

*Are you registered with the CCC&TI Disability Services Office?

*Do you believe you may have an undiagnosed mental, physical, or learning disability or do you identify yourself as a student with a disability?

TRIO History

Have you participated in any of the following TRIO programs? (check all that apply):

First-Generation Personal Statement

Certification Signatures

Your typed initials below will be considered your electronic signature.

*I would like to participate in the TRIO/SSS Program and receive the free services provided.

*I hereby certify that the information provided in this application is accurate and complete to the best of my knowledge.

*I give consent for the TRIO Student Support Services Program to access all of my student records at Caldwell Community College and Technical Institute, including both academic and financial records.

*I understand that this information is confidential and will be used for the purpose of my application to this program.

Your typed name below will be considered you electronic signature.

*Student Signature:

*Date: