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TRIO SSS Application

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TRIO Student Support Services
  • About Us
  • Our Services
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    • Apply to Become a TRIO Tutor
    • Request a TRIO Tutor
  • Apply
    • TRIO SSS Application
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TRIO Student Support Services Application

TRIO Support Services (SSS) is a federal program funded by a grant from the Department of Education. The purpose of TRIO-SSS is to support participants in achieving academic success. Students are accepted to the TRIO-SSS program based on academic need, eligibility criteria, and space availability. To determine your qualification for the program, please fill out the following application completely and accurately. The information you provide is strictly confidential. Completion of this application does not guarantee acceptance into TRIO-SSS.

"*" indicates required fields

Personal Information

Please enter your personal information.
Enter your 8-digit BSU student ID.
Name*
Address
Ethnic Origin
Check all that apply
Citizenship
Check only one.

Have you served in the U.S. military or reserves?
Have you completed the FAFSA?

Educational Information

Please enter your educational information.
Which have you, or will you, receive:
Month/Year
Month/Year
Did you earn any college credits while attending high school?
This would include any of the following: PSEO, College in the Classroom, IB, or AP
Have you attended college prior to attending Bemidji State University?
Anticipated start date at BSU

Current College Level Status
Have you participated in any of the following TRIO programs in the past?
Check all that apply

Eligibility Information

Please enter your eligibility information.
Did either of your parents earn a 4-year degree?*
Do you have a documented physical, psychological, or learning disability?*
If yes, you must provide documentation from your healthcare provider or register with the BSU Accessibility Services Office.
Check the appropriate option to indicate if your taxable income is at or below the level listed for your family size.*
You may use either your 2022 or 2023 Taxable Income. Do not use gross income.

Certification

I certify all information provided is true and correct to the best of my knowledge.
Name of Person Completing this Form
Relationship to Applicant of Person Completing this Form
MM slash DD slash YYYY

The contents of this form were developed under a grant from the US Department of Education. However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government.

Bemidji State University
1500 Birchmont Drive NE
Bemidji MN 56601-2699

(218) 755-2001 | (800) 475-2001
TTY: (800) 627-3529

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A member of the colleges and universities of Minnesota State, Bemidji State University is an affirmative action, equal opportunity educator and employer.

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