Midlands Technical College-EOC-Prior Participant Application
  • Continuing Participant Application Packet

    • Continuing Participant Application 
    • Date of Birth*
       - -
    • Marital Status*
    • Needs Assessments MUST BE COMPLETED (check all services needed)*

    • High School/GED (MUST BE COMPLETED)*
    • Are you currently enrolled in college?*
    • Did you previously attend college before?*
    • Please check if you have earned the following:*
    • Check if you are currently a participant in any of the federal programs listed below:*
    • I understand that I will receive a copy of the EOC Welcome Packet and FAFSA submission guidelines.
    • I certify that the information provided on this application is true and correct to the best of my knowledge. I understand that if I need accommodations for disability to participate in EOC, or any of its scheduled activities, I must contact EOC at least 30 working days prior.

    • Date Signed*
       - -
    • Telefinancialaid Consent Form 
    • “Telefinancialaid Assistance” is defined as a method to deliver EOC financial aid (FAFSA) assistance and other services using live chat, telephone sessions or video conferencing to facilitate EOC services while the student and the EOC Staff are at two different locations.

      I understand that I have the following rights and must meet the following requirements with respect to Telefinancialaid Assistance:

      1. I have the right to withhold or withdraw consent at any time. If consent is withheld or withdrawn I can request referral to my colleges/university financial aid office.

      2. The laws that protect the confidentiality of my personal information also apply to EOC telefinancialaid assistance. As such, I understand that the information disclosed by me during my sessions is confidential and will not be shared with a third party unless authorized to do so.

      3. I understand the following and limitations of telefinancialaid assistance:

      • Telefinancialaid assistance may have disruptions or delays in the service and quality of the technology used.
      • In rare cases, security protocols could fail, and your confidential information could be accessed by unauthorized persons.

      4. When receiving telefinancialaid assistance it is also required that I:

      • Dress as you would if attending a face to face session.
      • Engage in sessions only from a private location where you will not be interrupted.
      • Do not record any sessions.

      I understand that if an EOC Staff Member believes I would be better served by another form of assistance (ex. face-to-face services ) I will asked to schedule an appointment or be referred to my colleges/university financial aid office.

    • After reviewing this information,
    • By electronically signing this document, I acknowledge that I have read and understood the information provided above and that I consent to the provisions described.

    • Date Signed*
       - -
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    • Submit 
    • You will be contacted by an EOC staff member if any additional information is
      required to complete the application process.

      Thank you for applying to the MTC Educational Opportunity
      Center (EOC)TRIO Program!

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