• Students Obtaining Academic Rewards

    Program Application
    • Personal Information 
    •  - -
    • Demographic Information 
    • Gender
    • Citizenship Status
    • Race/Ethnicity

    • Are you Hispanic/Latino
    • Marital Status
    • Education Information 
    • Degree(s) and Diplomas Received

    •  - -
    • Classification
    • Financial Aid Information 
    • Have you been awarded federal financial aid (Pell Grant or Work Study)?
    • If No, why not?

    • SOAR Services Requested 
    • Select all that may apply
    • Disability Status 
    • Do you have a documented disability?
    • If Yes, is your disability documentation on file with CLCC’s Disability Support Services Office?
    • First Generation College Status 
    • Your mother’s highest degree
    • Did you live with your mother prior to your 18th birthday?
    • Your father’s highest degree
    • Did you live with your father prior to your 18th birthday?
    • Your guardian’s highest degree
    • Did you live with your guardian prior to your 18th birthday?
    • Certification and Release of Information Authorization 
    • I certify the information provided is, to the best of my knowledge, true and accurate. By applying to this program, I authorize SOAR/SSS to access information pertinent to my participation, including assessing the need for services, monitoring academic progress, evaluating program effectiveness, and fulfilling program reporting requirements.  I understand that all information will remain confidential and will be used for a) eligibility determination, b) student demographic record keeping, c) needs assessment, d) federal reporting, and e) other administrative purposes. I acknowledge that completing this application does not guarantee my admission to the program.

    • Clear
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    • Documents of Income Status 
    • Students Obtaining Academic Rewards (SOAR) is a Student Support Services program funded by the United States Department of Education. Federal regulations require verification of income be submitted as part of the application process. Applicants are asked to provide documentation of income to determine eligibility for services. Acceptable documentation includes previous year’s federal tax return, a signed statement attesting income amount, or the Institutional Student Information Record (ISIR).

    • Financial Aid Status
    • Please select one
    • Did anyone in your household file federal income tax?
    • If neither you nor your parents filed taxes, what was the income source?

    • Taxable income is your total income after deductions and may be found on line 11(b) of IRS Forms 1040 and 1040-SR.

    • Select your family’s taxable income
    • I hereby certify that all information provided above is correct and true to the best of my knowledge.  I understand that the information provided will be used to determine eligibility for Students Obtaining Academic Rewards and is subject to external verification by the United States Department of Education.  I understand that falsification of information will result in program ineligibility and may result in prosecution.

    • Clear
    •  - -
    • Clear
    •  - -
    • Copiah-Lincoln Community College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or other factors prohibited by law in any of its educational programs, activities, admissions, or employment practices.

    • Submit 
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