• INTAKE APPLICATION

     

    Please complete the application below so we can determine your eligibility for TRIO Educational Opportunity Centers (EOC) program services at Paris Junior College.

    For any questions or assistance, email trioeoc@parisjc.edu or call 903-782-0353.

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*
  • Are you a U.S. Citizen?*
  • If no, are you a legal resident?*
  • What is your race? (check all that apply)*
  • Are you Hispanic/Latino?*
  • What is your current marital status?*
  • What is your employment status?*
  • Do you receive any of the following income source(s): (mark all that apply)
  • Current Education Status: (Please check your current educational status. Please check only one.)*
  • High School Drop out - Check as many as apply:
  • College Student - Are you interested in transferring to a 4 - year university?
  • College Graduate - Degree(s) Obtained:
  • College Admissions Application Status:*
  • Student Financial Aid Application*
  • Did you receive a High School Diploma?*
  • Did you receive a GED?*
  • Are you currently a senior in a High School Diploma program?*
  • Are you currently working on getting your GED?*
  • Do you have the desire to pursue an education beyond high school?*
  • Are you currently attending college or a vocational training program?*
  • Have you ever attended college or a vocational training program?*
  • Do you have a college degree?*
  • Military- Connected (Check any that apply)*
  • Will you be applying for VA benefits?
  • Is anyone in your family a Veteran of the U.S. Armed Forces? (mark all that apply)*
  • Is anyone in your family active-duty military? (mark all that apply)*
  • Mark all that apply
  • What services are you interested in receiving? (check all that apply)*
  • Have you ever participated in any of the following TRIO programs? (check all that apply)*
  • Do you have the desire to pursue an education beyond high school?*
  • Where do you plan to attend college?*
  • When do you plan to enroll in college or a GED program?*

  • EOC helps you plan your educational future. Which of the following services would be helpful to you? (Check all that apply)

  • Financial Aid Assistance*
  • College Admissions Assistance*
  • Other*
  • Did either parent (natural or adoptive) with whom you regularly resided with and received support from, graduate from a 4-year college, prior to your 18th birthday?*
  • Dependency Status: (Please check all that apply to you)*
  • Did ANY of the above Dependency Status criteria apply to you?*

  • Participants may need to meet financial eligibility criteria to be admitted to the EOC program. Please provide a phone number and email address for your parent/guardian. They will receive notification that you have applied to the TRIO Educational Opportunity Centers program at Paris Junior College and will be asked to complete an income verification form so that we can review your eligibly. This form must be completed by a parent/guardian to complete your application.

  • Number in Family (include self)*
    Rows

  • Income Verification Section

    In order to satisfy the Department of Education requirements to document family income, I certify that the following is true and correct to the best of my knowledge:

  • Did you file a federal a 2023 or most recent 2024 income tax return (1040/1040A/1040EZ)?*
  • My filing status was:*
  • The source(s) of income for 2020 or 2021 were (check all that apply):*

  • Electronic Signature: I declare under penalty of perjury that the information on this form is true to the best of my knowledge.

    Information Release: Pursuant to 20 USA 1231a of the U.S. Department of Education, PJCEOC is authorized to access information deemed necessary to assist me in achieving my educational goals or in meeting the reported requirements of the U.S. Department of Education, to record pertinent facts regarding my eligibility in the program, services rendered, and post-secondary education enrollment. This information is protected by the Privacy Act, kept confidential and not be seen unless specifically authorized. A copy of this statement shall serve as such authorization. I allow personnel to conduct and communicate information pertaining to my educational outcomes as they relate to the EOC project using phone, email, text messaging or other digital mediums.

    For dependent students, EOC requires a parent/guardian signature to authorize the information on this application. An EOC staff member will assist you with this when appropriate.

  • I would like to receive text message regarding my appointments, deadlines, scholarships, and other necessary communication.*
  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Today's Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • TRIO Educational Opportunity Centers (EOC) at Paris Junior College is 100% federally funded by the U.S. Department of Education. TRIO EOC serves 1,100 participants annually who are from low-income backgrounds, first-generation college students and/or participants with disabling conditions, with a budget of $383,770. Paris Junior College prohibits discrimination, including harassment, against any student on the basis of sex or gender, race, color, national origin, disability, religion, age, or any other basis prohibited by law. A lack of English language skills will not be a barrier to admission and participation in the career and technical education programs of PJC.

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