All information I have submitted on this form is true and complete. I understand this information is confidential and will be used for statistical and verification purposes. Further, in order to verify my eligibility and in the event that I am accepted to the Success at Southern/ TRIO-Student Support Services (SSS) at Southern Oregon University, I release the following information to the Success at Southern/TRIO-SSS Program:
• Southern Oregon University Academic and Admission/Registration/Financial Aid Documentation
• Southern Oregon University Interdepartmental Consultation
• Midterm and Final Grades Information
• Disability Documentation
• Income Information (Federal 1040 or other appropriate income documentation if required)
Additionally, (1) I agree to complete an exit interview in the event of withdrawal, transferring, or graduation from SOU.
(2) I understand that Success at Southern/TRIO-SSS administrators will contact my instructors on an as needed basis.