• Commonwealth Educational Opportunity Center

    Registration Form N.E.

    The following information will be used to determine eligibility for services from CEOC.
    (Rev. 06/2020)

  • Area of Service
  • Continuing EOC Participant
  • OK to Text
  • Date of Birth*
     - -
    • Personal Information 
    • Gender
    • Ethnicity: Are you Hispanic or Latino?
    • Race (select one or more)
    • Are you proficient in the English Language?
    • Are you a U.S. Citizen?*
    • Military Status: Are you a(n)
    • Did you/will you file taxes for last year?
    • If under the age of 24, did your parent(s) file taxes last year?
    • Household size*
    • Please indicate your household's TAXABLE INCOME range for last year*
    • Education Information 
    • Did either of your parents, or the parent you lived with prior to your 18th birthday, receive a 4-year college degree?*
    • What is the highest grade you completed?
    • Are you currently enrolled in an Adult Education Program?
    • Are you currently enrolled in a postsecondary institution?
    • Have you ever attended a community or technical college or a university in the past?
    • Did you earn a certificate or associate degree?
    • Do you receive SNAP benefits?
    • In what type of education or training are you interested?*

    • I hereby authorize any school, postsecondary institution, or continuing education program to release any academic/financial aid information from my files that are requested by the Commonwealth Educational Opportunity Center (CEOC).

      I hereby authorize CEOC to release academic and financial aid information to assist in my education.

      I hereby authorize governmental agencies to release to CEOC the financial documentation necessary to enable my participation in this U.S. Department of Education program.

      I am not presently being served by another Trio Program.

      I certify that, to the best of my knowledge, all information given is correct.

    • Entry Date*
       - -
    • Date
       - -

    • The Commonwealth Education Opportunity Center is a Federal TRIO Program funded by the U.S. Department of Education and sponsored by Morehead State University.

    • Submit 
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