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What is TRIO Student Support Services? 

Student Support Services (SSS) is one of several federally funded TRIO programs for education. The goals of SSS are to help students to be successful in college and graduate from Southwestern, to encourage them to transfer to a four-year school, and to assist with the transfer process. Students accepted into the program will receive SSS services through graduation from Southwestern.

To be eligible for SSS services, students must be accepted for enrollment at Southwestern, be a U.S. citizen or permanent resident, AND meet at least one of the following criteria: be a first-generation college student (neither parent earned a bachelor’s degree by your 18th birthday), meet federal low-income guidelines for TRIO programs, or have a documented disability (physical or learning).

SSS services are FREE and include academic advising, tutoring, mentoring, computer lab/study area with free printing, career exploration, transfer assistance, help with FAFSA and scholarship applications, student success workshops, visits to Oregon’s four-year schools, cultural enrichment activities and more - all in a warm and welcoming environment with people who care about YOU!

Getting Started

Thank you for your interest in the SSS program at Southwestern. Please complete all parts of this application to the best of your ability. Please note, you will be required to input your or your family's taxable income (depending on if you are dependent or independent for FAFSA purposes), therefore we recommend that you gather your most recent federal tax return before you begin. If you have any questions about this application or admission to our program, please contact us at sss@socc.edu.

General Information

Last Name *
First Name *
Mailing Address *
City/State/Zip *
Email Address *
Cell Phone Number
Home Phone Number
StudentAccess ID *
Preferred Contact Method *

Demographic Information

Date of Birth *
Gender *
Pronouns *

Ethnicity

Are you Hispanic/Latino? *

Race (You may select more than one race. For race definitions, click the link below.)

The Integrated Postsecondary Education Data System

White *
American Indian or Alaskan Native *
Asian *
Black or African American *
Native Hawaiian/other Pacific Islander *

Program Eligibility

Are you a US Citizen? *
If "No", are you a Permanent Resident?
Did either of your parents graduate from a 4-year college/university and earn a Bachelor's degree? *
Do you have a documented learning, physical, or psychological disability, including ADD/ADHD, anxiety, depression, PTSD, or other chronic illness? *
If you have a disability, have you submitted documentation to Southwestern's Accessible Education Office? *
*Having a disability, as defined under federal law, is one of the criteria that may qualify a student to apply to the SSS program. Documentation MUST be supplied to Southwestern's Accessible Education Office.

Background Information

Did you graduate from high school with a standard diploma? *
If "Yes", what year did you graduate?
If "No", did you earn a modified high school diploma?
If "No", did you earn a GED, and if so, what year did you earn it?
Have you attended any other colleges or universities? *
How many college credits have you completed?
Have you ever been on academic warning in college? *
Have you ever been on financial aid warning? *
Is English your second language? *
How long have you been out of school? (high school or college)
Do you need advising for transfer planning? *
Are you a current or previous TRIO participant? *

Educational Funding

Are you currently receiving financial aid for college? *
If "No", Have you completed a FAFSA?
If "No", how will you pay for your college education?

Academic Needs

Select all academic areas in which you feel you need extra help.
Writing
Math
English, History, or other Social Science
Sciences
Computer Science
Other (list):

Educational and Career Goals

Do you plan to graduate from Southwestern with a degree or certificate? *
Name of Southwestern degree or certificate
Area of interest
Do you plan to transfer to a 4-year college/university to earn a Bachelor's degree? *
Name(s)of the college(s) you are interested in attending after graduation or transfer from Southwestern (if known)

Financial Information

Determining independent or dependent status:
24 years of age or older *
Are you currently or have you previously been married? *
Do children live with you and receive more than 1/2 of their support from you? *
Are you, or were you, an orphan or ward of the court? *
Do you provide more than 1/2 the support for other dependents living with you? *
Are you a veteran of the US Armed Forces? *
List household Taxable Income for 2019 (Form 1040, line 11b lists taxable income) *
How many people live in your household? *

Dependent Students: To verify household taxable income, your parent must sign a Financial Statement Form (we will email it individually as applicable), or email a signed copy of their 2019 tax return to sss@socc.edu. For other options, call 541-888-7419.

Essays

Please write a minimum of five sentences for each of the three essays. This will also serve as a writing sample, so use your best grammar and spelling skills.

Please describe your educational goals and how you feel TRIO Student Support Services can help you attain them: *
What challenges do you expect to face while completing college? *
What motivates you to go to college? *
How did you hear about the TRIO SSS program? (short answer ok) *

Student Publicity Release

I certify that if I am accepted into the TRIO SSS program, the staff may include my name, and/or picture in publications, including the SSS newsletter and website, which highlight student accomplishments and participation in campus and TRIO SSS activities.

Do you consent to the Publicity Release? *

Release of Information

I certify that to the best of my knowledge, statements I have made on this form are complete and true. Failure to disclose and submit complete and accurate information may result in the denial of acceptance to the TRIO SSS program. I also understand participation in SSS requires program access to my student records both at Southwestern and intended transfer institutions. I approve release of my grades, transcripts, financial aid information, test results and any other information related to my educational endeavors to SSS from entities including Financial Aid, Admissions/Registrar's Office, National Student Clearinghouse, etc., with the assurance that the information will be held in the strictest of confidence and in accordance with FERPA.

If I am accepted into the TRIO SSS program, I give permission for program staff to gather academic progress information from my instructors and I authorize my instructors to provide this information. 

Do you consent to Release of Information? *
Signature and Date *
Please select a signature verification type.
The Student Support Services program at Southwestern Oregon Community College is one of the TRIO programs funded by the U.S. Department of Education, Division of Special Services for the Disadvantaged, Title IV, Higher Education Act of 1965. The TRIO SSS program at Southwestern is 100% federally funded at approximately $346,835 per year.
Southwestern Oregon Community College does not discriminate on the basis of race, color, gender, sexual orientation, marital status, religion, national origin, age, disability status, gender identify, or protected veterans in employment, education, or activities as set forth in compliance with federal and state statutes and regulations.