(You will be contacted by email, RemindMe, mailing address, and phone number to let you know of upcoming events and workshops.)

First Generation Verification: Complete only for your parent(s) or guardian(s) with whom you lived during high school.

Please sign if you checked YES above.

I, {i_____}, verify that the above is true and I AM without a doubt a “First Generation College Student.”

I ,{name73}, certify that my taxable income was below the qualifying income level and the above is correct and to the best of my knowledge.

I, {parentName}, certify that my taxable income for the previous year is correct and to the best of my knowledge.

As a participant in the Snead State Community College TRIO Student Support Services Program, I am committed to my education. To gain the full benefits of the program, I will commit to my academic goals and the help provided. I will STRIVE for 100% CLASS ATTENDANCE, 100% CLASS COMPLETION, and A MINIMUM GRADE POINT AVERAGE OF 2.7. I authorize TRIO SSS staff permission to inquire and gather information concerning my academic progress such as class attendance, standardized test scores, grade point average, transcripts, tutoring, and tutoring sessions and receive grade reports and financial aid status before I participate in the program; and I permit my instructors to release such information to TRIO SSS staff when requested. I also grant permission to the ADA Office to release information to TRIO SSS staff if I fall under the disability status. Should I not meet the requirements of maintaining a 2.0 or above grade point average and fulfilling my academic goals, it may result in my continuation as a participant in the TRIO SSS Program.  Aware that my eligibility and financial aid status will be reported to the U.S. Department of Education under the grant funding regulations, I agree to provide documentation upon request to verify the information reported.

I also hereby authorize the TRIO SSS staff to obtain a photograph for my files and the use of my photographic image in any publications. I authorize Snead State Community College to use my name, photo, or information about me in the promotion of the college through radio, television, or other printed materials, and my picture could come from a digital image, such as my file or photos taken at various workshops, social events, and university visits.

Personal information provided to the TRIO SSS program will be kept strictly at the highest level of confidentiality and will be protected under the Federal Education Rights & Privacy Act (FERPA) of 1974. No one will have access to the information unless they work with or for Snead State Community College and the TRIO SSS program.

I, {i_____106}, certify the information provided on this form is, to the best of my knowledge, accurate and true.