ELIGIBILITY APPLICATION


The TRIO-SSS (Student Support Services) Classic program at Seattle Central College is funded by the US Department of Education.

Please complete the following application questions so that we can determine your eligibility for the program and its services. 

Complete this application as thoroughly as possible. You cannot save and restart this application. You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.

If you have any questions, please call the Virtual Front Desk at 206-934-3852. Or, email at TRIO.Central@seattlecolleges.edu.


Application Information:

Dependent students - Required document needed to complete this application:

  Your parent/guardian's signature is required to complete your application.

  • Once completed, email the form to TRIO.Central@seattlecolleges.edu

Instructions to fill out the form:

Chrome Browser

  1. Click on the link above.
  2. Once signed in, click the "Download" button OR "Open" > "Open in browser." These options will give you the fillable PDF.
  3. Fill out the form.
  4.  Click the printer icon or right-click > print then choose "Save as PDF" or "Print as PDF."
  5. Save to your computer, then upload the document to this application below.

Safari Browser

  1. Click the link above.
  2. Once signed in, click the "Download" button OR "Open" > "Open in browser." These options will give you the fillable PDF.
  3. Fill out the form.
  4. File > save as > choose your folder. You can fill out the form before or after you save.
  5. Once the form is filled out, save the document and then upload to this application below.

What to expect on this application:

  • Questions about:
    • Citizenship status (required for participation in TRIO)
    • Low-income status
    • If you have a documented disability
    • Degrees completed
    • Academic information including degree and area of study
    • Demographics
    • Financial Aid Status
    • How you are funding your education
  • Signature Required
    • Application submission
    • FERPA Release
    • Participant Agreement (you will also review this during the intake appointment with your advisor)

Definitions/Examples:   

  • Opt out of text messages - The TRIO office may send out text messages about reminders of important dates, resources, events, etc. Check the box if you would like to opt out of receiving these messages. 


General Information:
Last Name *
First Name *
Middle Name
Other names used that may be in the Seattle Central databases (if applicable)
What name to used for communications
Pronouns
Pronouns: The pronoun or set of pronouns that a person identifies
with and would like to be called when their proper name is not being used. Examples include “she/her/hers,” “he/him/his,” ze/hir/hirs,” and “they/them/theirs.” Some people prefer no pronouns at all.
EMPLID (ctcLink ID) *
Date of Birth *
Email Address *
Cell Phone Number *
Preferred Contact Method *
Cell Phone Opt Out
Address *
Address 2
City *
State *
Zip *
How did you hear about TRIO
Why are you interested in TRIO

Eligibility Information:
Are you a U.S. citizen or Permanent Resident? Type "yes" or "prefer not to answer" (Note: students must be a U.S. citizen or Permanent Resident to participate in TRIO) *
If you are a Permanent Resident, please provide your Permanent Resident Number
Are you a first-generation student? *

First-generation college student - a student whose neither natural or adoptive parents have a Bachelor's degree from a 4-year U.S. college or university.

Do you qualify as low-income? *

Low-income - Low-income means an individual whose family's taxable income for the preceding year did not exceed 150 percent of the poverty level amount. Further verification will be part of the application process.

Are you a student with a documented disability? *

Documented disability - receiving accommodations through the Accessibility Resource Center (ARC) or medical professional.

Are you currently admitted and enrolled at Seattle Central College in the current or next academic term? (Note: this is a requirement to participate in TRIO) *
Are you a Running Start student? (Note: Running Start students are not eligible for TRIO at the college) *
Are you planning to complete a Seattle Central College associates degree or certificate? (Note: this is a requirement to participate in TRIO) *
Have you have been in a foster care program or are/were an unaccompanied homeless youth? Type "yes" or "no" *

Academic Information:
Are you enrolled in a pre-college course? (Type "yes" or "no") *
Are you enrolled in an Adult and Basic Education (ABE) course? (Type "yes" or "no") *
Are you in Seattle Central's Promise Program? (Type "yes" or "no") *
Is your cumulative GPA below a 2.5? (Type "yes" or "no") *
Are you enrolled in a Career Training program? (Type "yes" or "no") *
Have you completed an associate's degree or higher? *
If yes, what degree did you complete (associate, bachelor, etc.)?
Which degree are you pursuing? *
What area of study are you interested in pursuing? *
Are you planning to transfer to a bachelor's degree program? (note: a bachelor's degree program at the Seattle Colleges is included) (Type "yes" or "no") *

Income verification:

More information about dependency status: https://studentaid.gov/apply-for-aid/fafsa/filling-out/dependency

Step 1: Select your status for the 2019 tax year. 

Answer the following questions to help you determine your status, select "yes" to all that apply:

Will you be 24 or older by Jan. 1 of the school year for which you are applying for financial aid? For example, if you plan to start school in August 2021 for the 2021-22 school year, will you be 24 by Jan. 1, 2021 (i.e. were you born before Jan. 1, 1998)?
Are you married or separated but not divorced?
Do you have children who receive more than half of their support from you?
Do you have dependents (other than children or a spouse) who live with you and receive more than half of their support from you?
Are you currently serving on active duty in the U.S. armed forces for purposes other than training?
Are you a veteran of the U.S. armed forces?
At any time since you turned 13, were both of your parents deceased, were you in foster care, or were you a ward or dependent of the court?
Are you an emancipated minor or are you in a legal guardianship as determined by a court?
Are you an unaccompanied Youth who is homeless or self-supporting and at risk of being homeless?
The Financial Aid Office has made determination that you are independent.

If you said "yes" to at least one of the questions or statement above, you are considered an independent student

If you said "no" to all of the questions and statement, you are considered a dependent student and must have your parent/guardian sign below.

There are two ways for your parent/guardian to sign. 
1. Parent/Guardian signature on this application
2. If your parent/guardian cannot sign this application, you must download the income verification found here, and have your parents/guardian sign the form. Instructions on how to download and submit the form are at the top of the page.

Select your status below:

Status answer: I am a(n) *

Step 2: Select your family size and then your taxable income level. You can find the taxable income on the 2019 IRS tax form 1040, line 11b. 

If you did not file, you must still choose your family size and taxable income level.

If you did not file due to your income being less than required to file, please indicate that below by selecting "Income was less than required to file" to the family size, taxable income, and to the statement below. 

Size of family *
Taxable Income: (You can find the taxable income on the 2019 IRS tax form 1040, line 11b) *

OR I did not file a tax return in for the 2019 tax year because my income was less than required to file.

Income Verification Signature:

Terms of Submission:

By submitting this signature, you acknowledge that all of the above information in the income verification section is correct and accurate to the best of your understanding.

If you are a dependent student, a parent/ guardian signature is required. 

 

Date (choose today's date by clicking the calendar icon) *
Signature *
Signature Type: Simple    Start Over
Click here to start signing.
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Signature: (Type in your full name)
I agree to the terms included.

Demographic Information:
Gender identification *
Do you identify as Hispanic/Latinx? *

TRIO programs must report student race information to maintain grant funding. We recognize not all race options provided will correspond with all individuals' experiences. Select one or more races that apply to you by answering "yes" or "no.

Race refers to a person's identification with one or more social groups:

American Indian or Alaskan Native *
American Indian or Alaska Native - American Indian/Alaskan Native refers to a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian *
Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, and the Indian subcontinent. This area includes, for example, China, India, Japan, Korea, and the Philippine Islands.
Black or African American *
Black or African American - A person having origins in any of the black racial groups of Africa.
Hawaiian or other Native to Pacific Island *
Native Hawaiian or Other Pacific Islander – A person having origins in any of the original peoples of Hawaii or other Pacific islands such as Samoa and Guam.
White *
White - A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

Eligible Participant (18 or older) OR Parent/Guardian of Eligible Participant under the age of 18 - Sign and submit to complete the application

Terms of Submission:

By submitting this signature, you acknowledge that all of the above information is correct and accurate to the best of your understanding.

Date (choose today's date by clicking the calendar icon) *
Signature *
Signature Type: Simple    Start Over
Click here to start signing.
  • Pencil
  • Reset
Signature: (Type in your full name)
I agree to the terms included.

Participant Agreement

As a participant in TRIO – Student Support Services, I understand that using the services offered, including program activities and advising will provide me with opportunities for academic success at Seattle Central College.  I have read and understand the following program requirements and agree to adhere to them:

  • I will utilize the resources and participate in a minimum of one TRIO activity each quarter. Participation options include attending a TRIO sponsored event (university transfer workshop, awards celebration, activity, etc.), studying in the computer lab, using TRIO tutoring services, transfer preparation, meeting with career service staff, assistance.
  • I will participate in one financial literacy workshop while in the TRIO Program. 
  • I am required and will meet with my advisor at least once per quarter, either in person or virtually. This is critical in supporting and advancing my success as a student.
  • I will develop an individual Education Plan with my program advisor, and will follow that Plan. I am responsible for contacting my advisor if I want to update my Ed Plan, or to change my major or program. 
  • I will maintain regular, on-going communication with my advisor via email, phone, or appointments. This includes any decision to take a break from enrollment; transferring from Seattle Central to a different school; any change in my personal contact information; needing to cancel or reschedule an appointment; or when any difficulties arise.
  • There will be an attendance check in Week 1 of each quarter. I agree to respond to any inquiry from my TRIO advisor about class attendance. Additionally there will be a mid-quarter progress check each quarter. I agree to meet with TRIO staff if this progress check indicates a need for additional academic assistance. 
  • I must talk with my advisor prior to withdrawing from a course so that all possible assistance can be given in advance, and to receive information about how withdrawal will affect academic and financial aid records. 
  • I will conduct myself in a manner beneficial to my academic success and of my peers. Disruptive behavior or behavior deemed by the TRIO staff to be inconsistent with the program’s mission may result in termination of my involvement in TRIO.
  • I understand that if I pose a threat to myself or others (or express the intention to harm myself or others), my TRIO advisor/counselor will be required to contact Campus Security or 911. The program’s greatest concern is the health and safety of myself and my fellow students.
  • I will submit all required information when checking out equipment from TRIO (test preparation books, calculators, etc.)
  • I will regularly check my email for messages from TRIO, and will refer to the TRIO Canvas site for important information and announcements e.g. scholarships, financial aid, workshops, various deadlines.
  • I understand that the TRIO staff are here to help me succeed in my college goals and that we will work together to accomplish these goals.
  • I understand that if I do not meet these requirements and fulfill my academic goals, it may result in loss of eligibility for continuing services and my deactivation from the TRIO SSS Program. 

FERPA Release Agreement

As a participant, for the purpose of the Family Rights and Privacy Act (FERPA) and all other applicable laws, I also consent to having information regarding my academic process information, financial aid information, transcripts, grades, and all other student records from Seattle Colleges faculty and staff reviewed by TRIO staff and other SCC staff and faculty. I release Seattle Central College, its legal representatives, and all persons acting under its permission or authority, from any liability by virtue of the release information. I declare that I am releasing this information and have every right as a student to retract in my own name in the above regard.

Sign and submit - Participant & FERPA Release Agreement

Date (choose today's date by clicking the calendar icon) *
Applicant Signature *
Signature Type: Simple    Start Over
Click here to start signing.
  • Pencil
  • Reset
Signature: (Type in your full name)
I agree to the terms included.