Georgia Southern University-Armstrong Campus-SSS-Application Form

Application for Georgia Southern Armstrong/Liberty Campuses

TRIO Student Support Services

* Please Note: If you have earned a 4 year college degree (Bachelors) you do not qualify for this program. To apply to this program the Armstrong or Liberty Campus must be your home campus.
Have you earned a 4-year college degree?*

YesNo
What is your home campus?*

ArmstrongLibertyOther
We're sorry, you do not qualify for this program.

Step 2
Are you over the age of 24?*

YesNo

Please answer the following questions about yourself if you (the student) are under 24 years of age. Otherwise, skip ahead to STEP 3. *

	Yes	No
a. Are you married?
b. Do you have children or other dependents who receive half of their support from you?
c. At any time since age 13, were you an orphan, in foster care, or a ward of the court?
d. Prior to reaching 18 years of age, were you an emancipated minor or did you have a court-appointed legal guardian?
e. Are you serving on active duty (for other than training purposes) in the U.S. Armed Forces?
f. Are you a U.S. Armed Forces veteran who was on active duty & released under a condition other than dishonorable?
g. Are you less than 18 years of age and have no parent or guardian?
h. Are you homeless (i.e., you lack a fixed, regular & adequate nighttime residence?)

Please answer the following questions about yourself if you (the student) are under 24 years of age. Otherwise, skip ahead to STEP 3.
a. Are you married?*

YesNo
b. Do you have children or other dependents who receive half of their support from you?*

YesNo
c. At any time since age 13, were you an orphan, in foster care, or a ward of the court?*

YesNo
d. Prior to reaching 18 years of age, were you an emancipated minor or did you have a court-appointed legal guardian?*

YesNo
e. Are you serving on active duty (for other than training purposes) in the U.S. Armed Forces?*

YesNo
f. Are you a U.S. Armed Forces veteran who was on active duty & released under a condition other than dishonorable?*

YesNo
g. Are you less than 18 years of age and have no parent or guardian?*

YesNo
h. Are you homeless (i.e., you lack a fixed, regular & adequate nighttime residence?)*

YesNo
i. Have you been granted a Dependency Override by the University? (Documentation must be downloaded under the signature section.)*

YesNo

Step 3
You must answer the following questions about yourself if you are 24 years of age or older OR you answered YES to any Question in STEP 2.

OR

Your parent(s) must answer the following questions about themselves if you are under 24 years of age AND you answered NO to ALL Questions in STEP 2.
What is the total number of persons in your household?*
What was your family’s taxable income (not total income) from the last calendar year?*
Did your family file a Federal income tax return last year?*

YesNo

Step 5
In no less than 250 words, please indicate why you are applying to the Armstrong/Liberty SSS program. Comment on your needs, what you hope to gain, and what commitments you are willing to make to succeed at Georgia Southern University and as a TRIO Participant. *You may attach a separate sheet if you need to.*

0/
Separate sheet for essay

Cancelof

Step 6
Please read the following statement then sign using your mouse and date below.

Please read the following statement then sign and date below. Signature(s) attest to the accuracy and truthfulness of the information provided within this application. You will be notified if additional information is needed to process this application.

I give Georgia Southern University Armstrong/Liberty Campuses-SSS permission to obtain any academic or personal information that is necessary for providing assistance to me, evaluating the effectiveness of the program, and fulfilling Federal and University reporting requirements. This information may be obtained from University departments and/or personnel, including but not limited to: Georgia Southern faculty, Undergraduate Admissions, Office of Financial Aid, Student Accessibility Resource Center, Dean of Students, etc.
Student's Signature*

Clear
Sign using your mouse and date above.
Date*

MonthDayYear
mm-dd-yyyy
Dependency Override Forms

Cancelof
Please read the following statement then sign using your mouse and date below.

Signature of Student's Parent or Legal Guardian (If under the age of 24 your parent or legal guardian must sign this application. Please save your application, skip the "create an account" and provide your parent's email or get a shareable link. The form will be sent to that email. Your application is not valid until he/she signs and submits it.)
Signature of Student’s Parent or Legal Guardian (if less than 24 years of age) *

Clear
Date*

MonthDayYear
mm-dd-yyyy
Georgia Southern University • Armstrong/Liberty Campuses • TRIO Student Support Services

11935 Abercorn Street • Solms Hall 212 • Savannah, GA 31419 • 912-344-3023

Trio@georgiasouthern.edu

Georgia Southern University's Armstrong/Liberty Student Support Services Project is a U.S. Department of Education TRIO Program and is 100% supported from 2020 - 2025 in Federal funds each year.