First Generation Status

List your total wages, salaries, and tips for each respective year. If no income was earned, list $0

Last College Attended

Your College Success Plan (CSP) will help you map out the steps to start or continue college and seek the appropriate resources you need to be successful. Please complete the Education Plan so that we may further assist you with your educational goals.

EDUCATION PLAN- MUST BE COMPLETED

The Family Educational Rights and Privacy Act (FERPA) of 1974 is a Federal law designed to protect the privacy of a student’s education records. The law applies to all schools which receive funds under an applicable program of the U.S. Department of Education. Under FERPA, disclosure of information from a student’s educational record is strictly limited and you must have a FERPA Release Form on file with the EOC Office before any EOC staff member can discuss your student account over the phone or in person. If you or an authorized party visits the office in person, you or the party must show photo identification, driver’s license, and/or student ID card to discuss your educational records. The party’s name must also appear on the FERPA Release Form. All of your records will be kept in confidence and in accordance with the Family Educational Rights and Privacy Act (FEPRA) of 1974.

Provide full name and address of individual(s) to whom access to records may be provided: (Optional)

I hereby grant permission for the Educational Opportunity Center to transmit and/or request any information about me for the purpose of verifying income information, making educational decisions, and for facilitating the successful completion of my educational plans. I further authorize the colleges/schools I attend to release this information to MTC EOC for federal outcomes tracking and reporting purposes. Such records may include but not limited to: test scores, class schedules, transcripts, college admission information, financial aid, and enrollment and graduation verification. This information may be obtained from high schools, colleges, universities, and other agencies.

EOC 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.