Owens State Community College-EOC-2023 Application Form

What is your military connection status?*

Size of your family household*

Family Taxable Income*

Did either of your parent (s) or legal guardians complete a 4-year (bachelor) degree program?*

YESNOI was/am foster care youthNeither parent was involved in my lif

What is your current level of education?*

Check if you are currently a participant in any of the federal programs listed below:

Check all services needed:*

I hereby certify the information I have furnished regarding my eligibility status answering the questions listed above are true to the best of my knowledge and hereby grant Owens State Community College TRIO Educational Opportunity Center permission to have access to my official academic, financial, and institutional records in order to complete my application.

ü Furthermore, I understand that all my records are kept confidential and in accordance with Owens Community College and Federal Privacy Laws.

ü I certify that the above information is complete and accurate to the best of my knowledge.

ü I give permission for release of my data (name, photos, data related to awards and achievements) for purpose of awards, recognition and advertising.

Print student name:

First NameLast Name

Student Signature:*

Parent Signature if dependent student:

TODAYS DATE*

Date

TRIO Educational Opportunity Center (EOC) Program Application