TRIO SSS Application

Personal Information

First Name

Last Name

Preferred First Name

Birthdate

Mobile Number

NKU Email Address

NKU Student ID

Prior TRIO Participation and Referrals

Did someone refer you to TRIO Student Support Services?

Yes

No

Name of Referrer

Have you ever participated in another TRIO program (Upward Bound, Student Support Services, Educational Talent Search, etc.)?

Yes

No

Please list the name of the program and the school where you participated.

Federal Student Financial Aid Eligibility

Are you a U.S. citizen OR do you meet the residency requirements for Federal student financial aid?

Yes, I am a U.S. citizen

Yes, I am a U.S. resident who qualifies for Federal student aid

No, I am not a U.S. citizen nor eligible for Federal student aid

First-Generation Status Eligibility

Have any of your parents (natural or adoptive) earned at least a bachelor’s degree OR did you regularly reside in foster care before turning 18?

Yes, at least one of my parents (natural or adoptive) has earned at least a bachelor’s degree

No, none of my parents (natural or adoptive) have earned at least a bachelor’s degree

I regularly resided in foster care prior to turning 18

Disability Status Eligibility

Do you have a federally recognized disability?

Yes, and I am registered with the NKU Office of Accessibility

Yes, but I am NOT registered with the NKU Office of Accessibility

No, I do not have a federally recognized disability

Prefer not to say

Income Status Eligibility

TRIO SSS also has income-based eligibility requirements. After you submit this application, you will be redirected to our required Income Verification Form. A link to the form will also be sent to your NKU email.

I understand I must submit the Income Verification Form to complete the TRIO SSS application process.

Academic Needs Assessment

Consent to Release Information and Informed Texting

I understand that Student Support Services needs access to my financial, personal, academic, and disability related information in order to provide the best possible support for me at Northern Kentucky University. Therefore, I agree to release such information to the Student Support Services staff members as long as I am considered an active Student Support Services participant or a student at Northern Kentucky University. I further understand that all released material will remain confidential. Academic information and disability verification, however, may be shared with faculty, University departments, the Office for Student Accessibility, and appropriate representatives of the U.S. Department of Education only as necessary.

By checking here, I certify that I have read and understood this Consent to Release and that I am capable of giving such consent to do so voluntarily.

NKU TRIO SSS sends occasional text messages with reminders about important deadlines, student resources, and upcoming events. Text messaging rates and fees from your mobile carrier may apply. Do you agree to receive text messages from TRIO SSS?

Yes, I agree to receive text reminders from TRIO SSS

No, I do not agree to receive text reminders from TRIO SSS

Application Validation

By initialing here, I agree that all of the information provided in this application is true to the best of my knowledge and understand my application is not complete until I submit the Income Verification Form (this application will redirect to the Income Verification Form upon submission.)