Bluegrass Community & Technical-Danville-SSS-Application Form Logo

  • TRIO Student Support Services
    Danville Campus
    Program Application

    Student Support Services is a federal program funded through the U.S. Department of Education and sponsored by BCTC, an equal opportunity institution. Acceptance into the program is contingent upon meeting eligibility criteria and space availability. Information gathered on this application will be used to determine eligibility and will be held in strict confidence.

    • Personal Information 
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    • Eligibility Information 

    • You may be required to submit written documentation by a qualified professional, physician, or state agency to verify your eligibility with Disability Support Services.

    • Educational Information 
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    • Academic Goals

    • Needs Assessment

    • Family Information 

    • **YOUR APPLICATION WILL NOT BE PROCESSED UNTIL TAX FORMS ARE RECEIVED**

    • Family Income Information 

    • The federal government requires that SSS/TRiO have on file documentation of the family’s annual TAXABLE INCOME as reported on the federal tax form 1040, 1040A, or 1040EZ for the prior year.

    • Note:  Taxable income can be found on the federal income tax return. On the IRS form 1040, see line 11b. On IRS form 1040A), see line 27 and Form 1040EZ, see line 6

    • Student Release 

    • By signing below, I hereby verify that all the information provided on this application is accurate to the best of my knowledge. I hereby give permission for the BCTC Student Support Services program to review any available academic and financial aid records deemed necessary. I understand that this information is confidential and withholding information on this application or giving false information will make my application ineligible for admission to the BCTC SSS program.

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