Livingstone College-SSS
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  • Student Application

    • Student Information 
    • Gender*
    • Date of Birth*
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    • Are you a U.S. Citizen?*

    • If you are a depend, student please provide the following for the parent/ guardian you live with.

    • Did your MOTHER graduate college with a 4-year?*
    • Does she live in the home with you?*
    • Did your FATHER graduate college with a 4-year?*
    • Does he live in the home with you?*
    • Are you receiving financial aid?*
    • If No, the reason(s) being:
    • Current Classification (This is determined by your “earned credit hours”)*
    • Current Course Load:*
    • When was your 1st semester at Livingstone?*
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    • Do you have a documented disability?*
    • If yes, have you registered with Livingstone College's Office of Disability Services?
    • Have you previously participated in a TRIO program?
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    • *Taxable income can be found on Line 15 on federal tax form 1040

       

      I certify that all the information on this form is true and complete to the best of my knowledge. I also authorize Student Support Services permission to obtain and review any academic and financial documents needed to complete the application process.

    • Clear
    • Date
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    • Clear
    • Date
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    • Income Information 
    • What is your dependency Status?*
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    • Income Statement Certification

      I certify that the information I have provided regarding my household size and taxable income for the previous tax year is accurate and true to the best of my knowledge.

    • Clear
    • Date
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    • *Taxable income can be found on Line 15 on federal tax form 1040

       

      I certify that all the information on this form is true and complete to the best of my knowledge. I also authorize Student Support Services permission to obtain and review any academic and financial documents needed to complete the application process.

    • Clear
    • Date
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    • Service Needs Assessment Survey 
    • Please check any needs that apply to you*

    • Check any of the following items which describe you:*

    • What obstacle(s) would most likely prevent you from completing your academic goals?*

    • Check any of the following services that may interest and/or benefit you while attending LC:

    • Advising*
    • Graduate School Planning*
    • Loan Programs*
    • Career Counseling*
    • Tutoring Needs*

    • Personal Statement Questions 

    • Please carefully read and answer the following questions using complete sentences.   Please “(i.e. work, RA duties, organizations, etc.)”

    • I certify that the details provided in this application are accurate to the best of my understanding, and I authorize the TRIO program staff to attain and review my academic, financial, and disability information to confirm my eligibility for TRIO programs. 

    • Clear
    • Date
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    • Submit 
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