TRIO Student Support Services Application

Thank you for your interest in the TRIO Student Support Services Program!

Please complete this application as thoroughly as possible.

The application will take about 5-10 minutes to complete.

You cannot save and restart this application.

If you have any questions, please call our office at (920)498-5588.

College is challenging, and seeking support is a smart decision. We're glad you're considering TRIO Student Support Services. Our team is dedicated to helping you achieve your academic and personal goals!

To qualify for the program, a student must be a U.S. citizen or permanent resident, enrolled in a program at NWTC, present a need for support, and meet ONE of the following criteria:

-First-generation college student (which means that neither parent has completed a bachelor’s degree)

-Income eligible (determined by federal guidelines)

-Have a documented disability

Student Identification:

First Name *

Middle Name

Last Name *

Preferred Name

NWTC Student ID *

Date of Birth (MM/DD/YYYY) *

Permanent Phone *

Alternate Phone

Email Address *

Alternate Email

Address *

City *

State *

Zip Code *

Demographics:

Gender at birth *

Do you identify as Hispanic or Latino? *

Which of the following best describes your race? Please select at least one option.

American Indian or Alaskan Native

Asian

Black or African American

Hawaiian or other Native to Pacific Island

White

Residency: *

Permanent Resident #:

Are you a veteran or currently serving in the military? *

TRIO Eligibility:

Have either of your parents (biological or adoptive) earned a bachelors/4-year degree?

Parent 1 *

Parent 2: *

What is the highest level of school you have completed and/or highest degree you have received? (Please note, if you already have a bachelor's or master's degree, you do not qualify for the program.) *

Do you have a documented disability? *

If yes, have you shared your documentation with the Disability Services office?

Have you completed or will you complete a Free Application for Federal Student Aid (FAFSA)? *

On the FAFSA, which option are you considered? *

Do you believe that your/your family's income during the last tax year was below the following guidelines? (Taxable income can be found on Form 1040, line 15 and Form 1040-SR, line 15) *

I certify that to the best of my knowledge the information provided is complete and true. I understand that verification with Student Financial Wellness and/or Disability Services may be required throughout the intake process to confirm eligibility. All information will be kept confidential and will be used for the purpose of establishing eligibility for participating in the NWTC TRIO SSS Program. This digital signature is valid to the same extent as a physical signature.

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I agree to the terms included.

Today's Date: *

This project is 100% funded by a TRIO Student Support Services grant from the U.S. Department of Education, providing $272,364 per year for five years (2025–2030).