Technical College Of The Lowcountry-SSS-Application Form

SSS APPLICATION PACKET

Technical College Of The Lowcountry
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APPLICATION CHECKLIST
APPLICATION CHECKLIST

FOR INTERNAL USE ONLY

Since 1992, the TRIO Student Support Services program at the Technical College of the Lowcountry has provided opportunities for academic development, assisted students with college requirements, and motivated them toward successfully completing their post-secondary education. The program provides an interconnected series of academic support services such as study skills development, tutoring to master course content, individualized advising, career guidance, campus tours to 4-year colleges, student success workshops, financial counseling, and more.

Who is eligible for TRIO SSS?

Federal regulations determine eligibility for TRIO/Student Support Services. To qualify, a student must be a U.S. citizen or permanent resident and meet one or more of the following criteria:
- Be a first-generation college student (which means that neither parent/guardian has completed a bachelor’s degree)
- Meet income guidelines (Total family income is below 150% of the poverty guidelines).
- Have documented disability status with TCL’s Office of Accessibility Resources (OAR)
  - Preference is given to students who have the intent to attend a four-year college after they graduate
NOTE: To be considered for Student Support Services, you must be a student seeking a degree, diploma, or certificate. You must be first-time, first-generation or low-income student. If you have earned your associates OR a bachelor's degree, you are not eligible for the TRIO SSS program.

Index:
Personal Data
SSS Participation Contract
Release and Signature
Goal Planning Form
Career Exploration Development
Financial Aid Information Form

Technical College of the Lowcountry
TRIO Student Support Services
921 Ribaut Rd. (PO Box 1288)
Beaufort, SC 29901-1288
T: 843.525.8265
1.800.768.8252
www.tcl.edu/sss
sss@tcl.edu

STUDENT SUPPORT SERVICES PARTICIPATION CONTRACT
STUDENT SUPPORT SERVICES PARTICIPATION CONTRACT

I agree to participate in the Student Support Services Program as outlined in the requirements listed below and as discussed with the program staff.

1. I agree to attend classes regularly. I understand that regular classroom attendance is defined by Student Support Services as having no more than three unexcused absences in any course during the semester.
2. Reasonable progress in coursework is the basic objective of Student Support Services activities. If in the opinion of the Student Support Services staff, an effort to make progress has not been made, I understand this contract will be void.
3. I agree to attend regularly scheduled appointments with a member of the Student Support Services staff. There will be at least _____ appointments during the semester. These appointments are primarily for the purpose of discussing academic progress and scheduling needed services. If I am unable to attend, I will call the coordinator and/or administrative assistant and reschedule the appointment.
4. I agree to attend at least two cultural activities during each semester. Examples of cultural activities are art shows, concerts, academic travels, dinner theatre, and personal growth workshops. I agree to report this participation to the Student Support Services staff. These cultural activities may or may not be sponsored by the Student Support Services Program.
5. I agree to attend specialized group sessions/retreats, etc., each semester. I understand I will be notified by the Student Support Services staff of these sessions.
6. I agree, if placed on academic probation or early alert, to participate in regularly scheduled study sessions and academic interventions with a program counselor.
7. I agree, if requested by Student Support Services, to participate in career exploration and counseling activities.
8. I agree to participate in individual and group testing, if requested, to determine cultural, career, educational, and personal needs.
9. If in spite of my participation in all of the above requirements, I am suspended from the college for poor academic performance, I understand that the Program Director may recommend to the VP for Student Affairs that I be readmitted for the next semester. Recommendation for readmission to the college under these circumstances is totally dependent on my participation in the program.

I understand that either Student Support Services or myself may void this contract without obligation; however, I do understand that federal regulations may require me to participate in a follow-up study at a later date.

I understand that certain program requirements may be modified slightly during the year but not without prior notification to program participants.
Name

First NameLast Name
Social Security Number
999-99-9999
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone Number
(999)999-9999
Alternate Phone Number
(999)999-9999
E-mail Address
example@example.com
Student Signature*

Clear
Date Signed

MonthDayYear
mm-dd-yyyy
Program Director's Signature

Clear
Date Signed

MonthDayYear
mm-dd-yyyy

RELEASE AND SIGNATURE
RELEASE AND SIGNATURE

I agree, if accepted into Student Support Services, to participate in answering questionnaires and other appropriate and approved research projects done as part of the program's evaluation. I also agree that photographs taken during the program, papers written during the program, and similar items may be used by SSS in reports and public information materials. I further agree to allow SSS to release, for education purposes, photographs and video recordings, with or without audio, of SSS activities and projects on which I am involved.

I authorize Student Support Services to release or request information from authorized officials to maintain my educational records.

I understand that if I am accepted into SSS, I will have to comply with the rules and regulations of the program. I understand that the SSS Director has the right to dismiss any student whose behavior is incompatible with the goals and standards of SSS.
Student Signature*

Clear
Date Signed

MonthDayYear
mm-dd-yyyy
Parent/Guardian's Signature

Clear
Date Signed

MonthDayYear
Date
Participation Policy and Procedure

In order to effectively serve our students, and to provide services to students who are chosen for our cohort group, the following policies and procedures have been adopted.

1. Eligible students with a completed application for services on file will meet with a counselor at least three times before moving into the cohort. (These meetings will allow for the development of a service plan and the full assessment of academic and career needs.)

2. Cohort students are required to maintain monthly contact with their counselor. The monthly contacts may include office visits, phone conversations, or electronic mail messages.

3. Each program participant must attend one workshop, or its equivalent, per semester. Workshops may be substituted with a related video loan from the tutoring center, an individual meeting with the workshop presenter, or pre-approved attendance at another college workshop.

Failure to adhere to the above stated policies and procedures will result in denial of Academic, Career and Educational services. Students who have not maintained the requirements of this policy will also be denied the opportunity to apply for the SSS
Retention Grant Aid Stipend.

GOAL PLANNING
GOAL PLANNING

Please help us reduce your risk factors while we help build your resiliency. Think of your positive attributes when you set these goals. They include academic, career, educational (ACE) plans, as well as time and stress management for you and your family.
Date

MonthDayYear
mm-dd-yyyy
1. Short-term goal (one month):
Objectives: (list a-c)
2. Medium goal (this semester):
Objectives: (list a-c)
3. Long-term goal (one year):
Objectives: (list a-c)
Student Signature*

Clear
Staff Signature

Clear

CAREER EXPLORATION DEVELOPMENT
CAREER EXPLORATION DEVELOPMENT
Career Choices: The careers that interest me the most are:
Job Title
Job Title
Job Title
My Employability Skills: The skills I already possess include: (check all that apply)

Language Competence & SkillsDependability/ReliabilityMath Competence & SkillsProductivityTechnical Competence & SkillsPositive AttitudeManagerial SkillsCustomer Service SkillsInterpersonal SkillsPositive Work EthicComputer Competence & SkillsClerical SkillsOther Skills

	Job Title	Dates of Employment	Duties Included	Skills Acquired
1.
2.
3.

My Work Experience: Record any jobs that resulted in the development of employable skills.

	Career Title	Corresponding Career Cluster
1.
2.
3.

Student's Signature*

Clear
Date Signed

MonthDayYear
mm-dd-yyyy

STUDENT SUPPORT SERVICES - FINANCIAL AID INFORMATION FORM
STUDENT SUPPORT SERVICES - FINANCIAL AID INFORMATION FORM

I authorize the student financial aid office at the Technical College of the Lowcountry to release my financial aid information to the Student Support Services Program at the college.
Student's Name

First NameLast Name
Date Signed

MonthDayYear
mm-dd-yyyy
Student's Signature*

Clear
Social Security Number
999-99-9999

Award Information

	Amount ($)
Pell
Stafford Loan
Perkins Loan
State Based Loan
Employee Tuition Fee Waiver
SEOG
CWS
SIG
WIA
Other (Specify)
Other (Specify)
Other (Specify)
TOTAL AWARD
The total established financial need for this student is

If you had "Other" financial aid, please specify below:
INCOME VERIFICATION:
TypeThis income information is documented from the student's official tax forms that are confidentially located and verified in the TCL Financial Aid Office and it shows the annual income and family size for the above named student to be $ ___________________(income) a question
Income
and ___________________ (family size) respectively.
Family Size
Name of Financial Aid Office

First NameLast Name
Signature of Financial Aid Office

Clear
Date Signed

MonthDayYear
mm-dd-yyyy
Notes:

ADDITIONAL DOCUMENTS
A copy of your or your parent or guardian’s most recent federal income tax form.

NOTE: W-2 FORMS ARE NOT ACCEPTABLE.
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A copy of most recent Compass/ASSET Test Scores if needed.

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A TCL transcript (unofficial).

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A current TCL Semester Schedule.

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SSS APPLICATION PACKET