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  • SSS TRiO Academic Program

    Student Application

    Northwest Mississippi Community College Student Support Services program is federally funded by the U.S. Department of Education. The mission of SSS is to provide academic and personal support to help participants successfully graduate and/or transfer to a 4-year university. Eligibility is based on federally defined criteria:
    1. Income 2. Family background 3. Disability

    • Personal Information 
    •  - -
    • First Generation Verification  
    • Verification of Disability 
    • I hereby affirm that all of the information provided on this application to be true and complete to my knowledge; I understand that any false information given may result in the loss of SSS participation opportunity. My signature below allows Student Support Services to have access to the following: ACT scores, transcripts, Financial Aid records, documentation of disability (if applicable), records of admission to all colleges, and progress reports from instructors.

    • Clear
    •  - -
    • Income Verification 
    • You may complete this section yourself or we can assist you. If you would like
      assistance, please sign below & skip the rest of the Income section

      I verify that the financial information on this form is current and accurate. 

    • Clear
    • If you did NOT sign above, please answer the questions below :

    • You can also provide: (if you did not sign or complete the section above)

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