Pima Community College-Desert Vista-STEM-SSS

  • Student Support Services

    New Student Application

    • Section 1: Student Information 
    • Date of Birth*
       - -
    • May we text you?*
    • Please select one or more of the following racial / Ethnic categories to describe yourself*
    • Please select the Gender associated with your social security number. If any of these options do not meet your needs, please let your TRiO SSS representative know.*
    • Section 2: Eligibility Criteria 
    • Are you a U.S. Citizen or Permanent Resident?*
    • Do you have a documented disability?*
    • If yes, are you registered with the Access and Disability Resource Office (ADR)?*
    • Are you a First Generation College Student?*

    • A first generation college student is:

      1. An individual neither of whose parents/guardians received a Bachelor's Degree;
        OR
      2. A student who, prior to the age of 18, regularly resided with and received support from only one
        parent/guardian who did not receive a Bachelor's Degree.
    • Complete one section, based on information from the most recent tax year.*

    • Independent Student Section

    • Clear

    • Dependent Student Section

    • Clear
    • Section 3: Academic & Programmatic Needs 
    • Do you already have a Bachelor's degree?*
    • What are your academic plans? (Please select one)*
    • Check any that apply to you. I am, or have experienced*
    • Check any that you feel you need to achieve your academic goals*

    • * If you checked any box with this symbol, you are ineligible for admittance to TRiO SSS

    • Unfortunately, you are ineligible for this program.

    • Section 4: Student Authorization 

    • I certify that all the information on this form is true and complete to the best of my knowledge. I authorize the PCC SSS Project to obtain and review any academic, financial, disability or demographic information or documentation from staff and college instructors needed for the purposes of data collection and reporting, or progress monitoring, both at the time of my application and throughout my participation in the program.

      I am also aware that the personal information that is provided to the Student Support Services Program will be protected under the Family Education Rights Privacy Act of 1974.

    • Clear
    • Date*
       - -
    • Submit 
    • Should be Empty: