Fresno City College-SSS-Sam

STUDENT SUPPORT SERVICES PROGRAM

2026-2027 FCC Application

1101 E. University Ave. Student Services Bldg. Rm. 104
Fresno, CA 93741 (559) 443-8689

Name

FirstMiddleLast
Who would you like to be your counselor?
SSN
999-99-9999
Student ID #
Home Phone #
(999)999-9999
Cell Phone #
(999)999-9999
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearmm-dd-yyyy
Sex
Gender
Mailing Address

Street Address

Apt #

CityState

Zip Code
SCCCD Email Address
example@example.com
Personal Email Address
example@example.com
Ethnicity

Other
First Language Spoken in Home
Are you a US Citizen?
FCC TRIO SSS now accepts undocumented students.
Where is your birthplace?
If you’re not a U.S. citizen, please check your residency status below and provide a copy of your INS card:
Registration Card #
Registration Card documentation

Browse Files

Cancelof
First Generation
Did either of your parents or guardians graduate from a four-year college?

Please check the highest year in school/college completed by your parents or guardians

Did you file a Free Application for Federal Student Aid (FAFSA) for this academic year?
Please provide a copy of your tax return with this application (if 24 years or older) or your parents/guardian tax return from the most recent tax year 2019 or 2018 federal 1040 form (1040 EZ or 1040A form). If you or your parents/guardian do not file taxes please provide proof of all other income or assistance when submitting this application.

Browse Files

Cancelof
Please provide the following information: How much total income did you make during the last reported year.
Signature that self reported income is true and correct
Total number of people living in your household, including yourself, parent(s), siblings, or other dependents in your family
Low income (see Low Income Levels table below)

Federal TRIO Programs Current-Year Low-Income Levels
Effective January 13, 2026, until further notice.

Size of Family Unit	48 Contiguous States, D.C., and Outlying Jurisdictions	Alaska	Hawaii
1	$23,940	$29,925	$27,540
2	$32,460	$40,575	$37,335
3	$40,980	$51,225	$47,130
4	$49,500	$61,875	$56,925
5	$58,020	$72,525	$66,720
6	$66,540	$83,175	$76,515
7	$75,060	$93,825	$86,310
8	$83,580	$104,475	$104,475
Each Additional Family Member	$8,520	$10,650	$9,795

Thank you for applying to the Student Support Services Program. Personal information collected is for reporting requirements and is confidential. Any incorrect information given on this application will affect your opportunity to receive services from SSSP. Your signature gives SSSP permission to access your financial and academic records at FCC or any other educational institutions you will attend and to consult with faculty and staff at FCC regarding your academic status.

Yes, if approved, I agree to maintain a minimum of two counseling contacts and one SSSP event each semester.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearmm-dd-yyyy
SSSP does not discriminate on the basis of national origin, religion, age, sex (gender), race, color, medical condition, ancestry, sexual orientation, marital status, physical or mental disability, or because he or she is perceived to have one or more of the foregoing characteristics.

This SSSP TRIO program is full funded by the U.S. Department of Education