Tusculum University SSS
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  • Application

    P.O. Box 5053, Greeneville, TN 37745
    sss@tusculum.edu, (423) 798-1635 Ext 5635
    Fax: (423) 787-8494

    To receive its annual funding of $348,515 from the U.S. Department of Education, Student Support Services (SSS) is federally required to submit certain personal information. Your safety and security are important to us and the information provided will be held in strictest confidence.

    • General Information 
    • Date of Birth*
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    • What is your classification*
    • The applicant will be*
    • Gender:
    • Citizenship*

    • Ethnicity*
    • Race*
    • Race*
    • Educational Background 
    • Previous participation in other Federal TRIO programs

    • Disability Information 

    • If you need to inform the Tusculum ADA coordinator of a disability to receive accommodations, please contact adaservices@tusculum.edu.

    • Do you have a documented disability that can be verified with Tusculum’s ADA coordinator?*
    • If yes, have you filed your disability with Counseling and ADA Services (counselingandadaservices@tusculum.edu?
    • Eligibility Information 
    • Have you lived with your parents in the last year?*
    • With whom do you live?*

    • Does your mother/guardian have a 4-year college degree?*
    • Does your father/guardian have a 4-year college degree?*
    • Services Needed 
    • Please check all areas in which you desire assistance, instruction, or information
    • Income Information 
    • Please check one*

    • Applicants must submit a copy of their parents/guardians most recent tax return (form 1040). Please submit the tax return of the parent or guardian who claims the student as a dependent.

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    • OR

      If you are unable to attach your parent's/guardian's tax return, your parent/guardian must answer the questions below.

    • taxable_income
    • 3. I did not file taxes last year for the following reasons (please check)*

    • Please read the following disclosure and sign your consent.

      By completing this application, which will serve as a statement of income, I am certifying that the information furnished regarding family size and taxable income is true to the best of my knowledge.

      I agree to waive my rights under the Family Privacy (Buckley) Amendment, and agree to permit the Student Support Services Program staff to access my grades and academic history. I am providing written consent for the redisclosure of my Federal Tax Information by the Office of Financial aid to include Student Support Services and with my further express written consent obtained by an institution of higher education, the redisclosure of FAFSA information pursuant to the terms and conditions of 20 U.S.C. § 1098h(c). I understand this information will remain confidential and only utilized in determining eligibility and necessary services.

      I give my permission for Tusculum University SSS to use my image/likeness in or on SSS related publications and/or public relations materials. Such items may include: newsletter, website, video, handbook, brochures and social media.

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    • Dependent Students: The parent/guardian on the FAFSA must be the parent/guardian who provides consent on this application.

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    • If you have any questions about how to complete this application, please contact SSS at (423) 798-1635 or sss@tusculum.edu.

    • Date
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