Thank you for your interest in the TRiO Student Support Services  (TRiO SSS) Program.  The SSS Program is funded by the Department of Education with the purpose of serving first generation, low income and accessibility need students. To determine your eligibility as a SSS participant, please complete the information below. 

PLEASE NOTE:  This is a timed process that will log off 30 minutes after starting the application. This application cannot be saved and restarted, therefore, please gather the following to complete the application:  IRS Tax Returns (prior year tax returns for parent, self  if over 24 or file as independent) and FAFSA Submission Summary.  Be prepared to upload a PDF copy of your FAFSA Submission Summary. The parent's signature with whom you reside is required for dependent students only. 

Following review of your application and required documents to verify eligibility, a TRIO SSS team member will contact you via email. Thank you for your desire to participate in the TRIO SSS Program.
GENERAL INFORMATION
Last Name: *
First Name: *
Middle Name:
Preferred Name:
School ID *
Date of Birth: *
Gender: *
Ethnicity: *
Are you a U.S. citizen?
NCCU Email Address: *
Personal Email Address:
Cell Phone Number *
Permanent Phone:
Permanent Home Address:
Permanent Home Address 2:
Permanent City:
Permanent State:
Permanent Zip:
Local or Campus Address:
Local Address 2
Local or Campus City:
Local or Campus State:
Local or Campus Zip:
Preferred Contact Method:
ACADEMIC INFORMATION
Current NCCU Classification:
Major:
Double Major (Select if applicable):
Concentration:
Minor (Select if applicable):
From which high school did you graduate?
High School GPA
From which institution are you transferring?
Transfer GPA
ELIGIBILITY INFORMATION 
Parent(s) Education Level -- Have either of your parents (biological or adoptive) earned a bachelor's (4-year) degree?  If your parent(s) attended college, but did not graduate with a four year degree, select No.
Did your MOTHER graduate from college with a 4-year degree?
Did your FATHER graduate from college with a 4-year degree?
If YES to either, with which parent do you live?
Household Information -- The following link details the low income levels for TRIO Programs:  https://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html (Copy and paste link in website browser to view information).
Number of people living in your household (including yourself)
What is your dependency status?
What is your family's Annual Taxable Income for the previous year? NOTE: Taxable Income can be found on tax forms 1040EZ--line 6, 1040A--line 26 or 1040--line 43. Selection is based on maximum income level for family size:
Accessibility (Disability) Services 
Have you ever been diagnosed with any type of learning or accessibility challenge?
Have you registered with the NCCU Student Accessibility Services
Campus Affiliations
Are you involved with any programs, organizations or groups on campus?
List your campus affiliations:
TRIO Program Information
Have you previously participated in any of the following TRIO Programs?
How did you learn about the TRIO SSS Program?
Why do you want to be a participant in the TRIO SSS Program?
How can TRIO SSS Program best support your academic needs? (Select all that apply)
Academic advising
Academic tutoring
Career exploration and planning
Educational Planning
Financial Aid assistance/information
Financial and economid literacy counseling/education
Graduate school assistance/preparation
Improve grades/GPA
Improve academic preparedness for college
Leadership/Life skills development
Mentoring support
Personal advising/support
Professional/personal development
Study requirements
NEEDS ASSESSMENT
Please indicate the level of support needed to improve your performance.  Your answers will aid our ability to you.
Academic Support
Improve writing skills
Improve reading skills
Improve math skills
Improve science skills
Communicate with instructor
Study Skills
Learn time management techniques
Learn to be a better test taker
Learn to prioritize tasks
Learn to take better notes
Learn stress management techniques
Learn to use library resources
Educational Planning
Decide on a major
Understand requirements for major
Increase GPA
Understand graduation requirements
Career Planning
Identify my strengths, abilities and interests
Identify careers that match my strengths, abilities and interests
Learn about career requirements, income and demand
Create a compelling resume
Improve interview skills
Learn how to get an internship
Participate in job shadowing opportunities
Find a mentor
Graduate/Professional School
Explore graduate/professional schools, requirements and deadlines
Apply to graduate/professional schools that match my interests
Prepare for school entrance exams
Write a captivating personal statement
Financial
Assistance with FAFSA
Improve financial literacy (budget planning, investing, reduce loan debt, saving strategies, etc.)
Finding and applying for scholarships
Social/Personal
Handle pressure from family, friends instructors or self
Improve communication with others
Get involved on campus (making friends, join organizations, etc.)
Learn techniques to stop procrastinating
Learn techniques to manage anxiety
Set attainable goals for the future

PERSONAL INFORMATION
Family background you would like to share (parents, siblings, education, occupation, age, etc.)
What are your strengths?
Share your areas for improvement:
I am motivated to pursue a college degree because:
After graduation, I plan to:
Barriers or challenges faced as a college student:
GOAL SETTING                    
Goals I want to accomplish during the semester/academic year.  (Enter at minimum 1 goal)
GOAL 1:
How I will achieve this goal:
Challenges to obtaining this goal:
Resources I will use to overcome this challenge:
Deadline to achieve goal (month/year):
GOAL 2:
How I will achieve this goal:
Challenges to obtaining this goal:
Resources I will use to overcome this challenge:
Deadline to achieve goal (month/year):
GOAL 3:
How I will achieve this goal:
Challenges to obtaining this goal:
Resources I will use to overcome this challenge:
Deadline to achieve goal (month/year):

SUPPORT NETWORK
It is important to surround yourself with supportive friends, family, and mentors who can encourage your success.  Please list three members of your current support network and how they support you.
Name of Support Person:
Relationship to you:
Describe how he/she supports you:
Name of Support Person:
Relationship to you:
Describe how he/she supports you:
Name of Support Person:
Relationship to you:
Describe how he/she supports you:
In what ways do you support others:

FAFSA SUBMISSION SUMMARY

Directions to access and upload your FAFSA Submission Summary: 

Access:  https://studentaid.gov/

  1. Log into your StudentAid.gov account Dashboard.
  2. Select your processed FAFSA Summary Submission Form under My Activity section.
  3. Select “View FAFSA Submission Summary.
  4. Scroll up to the top of the page and click on Print FAFSA Submission Summary.
  5. A new window will open -- Choose Save as PDF.
  6.  Upload via the link that follows:

A complete report is required in PDF format.  Snapshots are not accepted.
UPLOAD FAFSA Financial Summary (Complete Report)

PROGRAM ELIGIBITY FORM -- Complete the following link to confirm your eligibility for consideration as a participant in the TRIO Student Support Services Program:  https://nccu-sss-pub.studentaccess.com/appform/default.aspx?guid=3d4406b7-80b5-4fa6-b63b-dfa848223af5

REMINDER: 

OPEN ABOVE LINK TO COMPLETE PROGRAM ELIGILITY FORM PRIOR TO SUBMITTING APPLICATION 
E-SIGNATURES (Signatures Are Required Prior to Submitting Application)
Parent/Guardian's E-Signature (Required)
Parent's E-Signature below confirms that the Education Level and Household Information in the Eligibility section is accurate  (Applicable for parent with dependent student).
Please click Simple and use your mouse to sign the application: *
Please select a signature verification type.
Student's E-Signature (Required)

As a prospective TRIO Student Support Services (SSS) participant, I understand that by submitting this application, I agree that if accepted I will be an active participant in the TRiO SSS Program. This includes but is not limited to: attending meetings and events required as an TRiO/SSS participant, completing questionnaires and surveys as part of the Program's evaluation process, and permitting the release of photographs and videos of me during TRiO SSS activities.  I authorize the TRiO SSS Program to request or release information related to my educational records from/to authorized campus officials.

I understand that I must provide the SSS Program with a copy of my FAFSA Summary Submission Form  from FASFA.gov and the NCCU Financial Aid Award Notification Report from the Banner System in MyEOL. I also authorize the TRiO SSS Program access to my financial aid information from the NCCU Scholarships and Student Aid Office.

I understand that retention in the TRiO SSS Program is based on adherence to the rules and regulations that govern the Program. I recognize that failure to adhere to these rules and regulations may result in an inactive status with the Program. I understand that the support and service afforded as a TRiO SSS student participant extends through graduation and post-graduation. 
Please click Simple and use your mouse to sign the application: *
Please select a signature verification type.

REMEMBER SIGNATURES ARE REQUIRED

PRIOR TO SUBMITTING YOUR APPLICATION

INCOMPLETE APPLICATION WILL NOT BE PROCESS

Thank You For Your Interest in the NCCU TRIO SSS Program!Â