SSS TRIO Info Form

SSS TRIO Info Form

Once you fill out this form, a personal advisor from the TRIO Student Support Services team will contact you to answer all your questions and tell you more about the program. You'll discover how SSS TRIO can be a powerful ally on your side as a college student!
Name

First NameLast Name
Y-Number (if you know it)
Email*

Confirmation Emailexample@example.com
Phone Number
Which campus do you attend?

PrescottVerde ValleyCTECPrescott ValleyChino ValleySedonaOnline
Which services interest you (choose all which apply)

Individual mentoringAdditional grant aid and scholarship helpExtended advising and career planningMentoring
Specific issues you'd like to discuss
Eligibility Requirements (check all which apply)

I'm degree seeking, enrolled in at least (9) creditsMy parents don't have a Bachelor's degreeI receive the Pell Grant or meet financial aid guidelinesI have a document physical or learning disabillity
Which Degree / Certificate are you pursuing
Should be Empty: