San Antonio College-STEM-SSS-Application Form
  • STEM STUDENT SUPPORT SERVICES PARTICIPANT APPLICATION

    • STEP 1: Demographic Information  
    • STEP 1: Demographic Information

    • Gender
    • Date of Birth
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    • Are you a U.S. Citizen?
    • Are you a permanent resident?
    • Race/Ethnicity
    • STEP 2: Student Information 
    • STEP 2: Student Information

    • Do you have a certificate?
    • Do currently have a degree?
    • Are you married?
    • Do you have a Documented Disability?
    • Are you registered with SAC Student Accessibility Services (SAS)?
    • STEP 3: Emergency Contact 
    • STEP 3: Emergency Contact

    • STEP 4: First Generation Information 
    • STEP 4: First Generation Information

    • a. Has your mother received/earned a 4-year college degree?
    • b. Has your father received/earned a 4-year college degree?
    • Has your Guardian receive/earned a 4-year college degree?
    • STEP 5: Please answer the following questions about yourself

    • STEP 5: Financial Information 
    • STEP 5: Financial Information

    • Did you apply for financial aid?
    • Are you a dependent on your parents tax return?
    • Are you independent
    • Do you have children or other dependents (other than a spouse) who receive more than half of their support from you?
    • On IRS Form 1040, see line 15.

    • STEP 6: Student Acknowledgment  
    • STEP 6: Student Acknowledgment

      By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of the student’s official academic records to the TRiO Student Support Services (SSS/STEM) project at San Antonio College, understanding that the information in these records will be used only to assess the student’s need for TRiO program services, discern the student’s educational progress, evaluate the effectiveness of TRIO program activities, and fulfill TRiO program-reporting requirements. Finally, I authorize this SSS project to use the student’s name, statements and likeness, without charge, for promotional purposes in the project’s publications, advertising, video, and other formats.

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    • Clear
    • Date
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    • By signing this application, I attest that all of the information on this application is true.

    • Clear
    • Date
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    • Submit 
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