Rio Hondo College-SSS

  • Rio Hondo College

    TRiO/S.S.S. Student Application

    TO THE APPLICANT: This information helps determine your eligibility for the Student Support Services Program. All information submitted will remain confidential.

    • Applicant Information 
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    • Gender*
    • Demographics 
    • Are you a U.S. Citizen or Permanent Resident?*
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    • Citizenship/Residency Attestation Statement

    • By signing this statement, I certify that the information provided is true and accurate to the best of my knowledge. I understand that falsifying information may result in termination from the TRIO SSS Program and could carry additional consequences.

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    • Do you identify as:

    • Hispanic/Latino Ethnicity*

    • Race:

    • American Indian or Alaskan Native*
    • Asian*
    • Black or African American*
    • White*
    • Native Hawaiian or Pacific Islander*
    • Educational Background and Information 

    • HIGH SCHOOL: (if applicable)

    • Select the following that applies to you.*

    • COLLEGE OR VOCATIONAL INSTITUTIONS PRIOR TO RHC:

    • Have you attended other colleges or Universities?*
    • Do you have an AA/AS Degree?*
    • EDUCATIONAL GOALS: CHECK ALL THAT APPLY*
    • Eligibility 

    • If you are under the age of 24, we will need your parent's signature to verify that the self-reported income information you are providing is correct.

      1. INCOME

    • Are you currently receiving financial aid?*
    • Do you receive any of the following aid? (Check all that apply)*
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    • 2. FIRST GENERATION

      Did either of your parents receive a four-year degree?

    • Mother*
    • Father*

    • 3. DISABILITY

    • Do you have a disability?*
    • Are you registered with the Disabled Students Program & Services (DSP&S) at Rio Hondo College?*
    • If yes, we are required to verify your status with the DSP&S Office. Do you give the TRIO SSS Staff permission to contact the DSP&S Office to verify your registration?*
    • Academic Needs Self Assessment 

    • Check the box next to the answer that works best for you. The information you provide will be kept confidential and used only to assess student progress.

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    • Certification and Signature 

    • I certify that all information provided above is correct to the best of my knowledge and will supply the program with all required documentation if requested. I authorize the Student Support Services Program to obtain, copy, review and discuss my records for eligibility verification. 

      A parent signature is required if you are under the age of 24.

      Exceptions: We do NOT need a parent signature if you are under the age of 24 and married, a veteran, a member of the armed forces, an orphan, a ward of the court, someone with legal dependents other than a spouse, an emancipated minor or someone who is homeless or at risk of becoming homeless.

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    • Submit 
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