• TRiO Student Support Services
    PARTICIPATION PRODUCES PROGRESSION
    Georgia State University Alpharetta
    Application for Participation

    Please submit your SSS application as soon as possible for the best chance of securing a place in this highly competitive program! Applications are accepted past this date until the program is full. Updates regarding the status of a student’s application are sent to the GSU e-mail account. PLEASE make sure your application is complete upon submission to avoid a delay in consideration. If you have any questions about the TRiO SSS program and/or the application process, feel free to contact the SSS office at sssalpharetta@gsu.edu.

    • Contact and Personal Information 
    • Gender*
    • Gender: How do you identify?*
    • Date of Birth*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Communication Information 
    • Do you agree to accept and receive SSS program text messages?*
    • What is your preferred method of communication?*
    • Race/Ethnicity/Citizenship Information 
    • Are you a U.S. Citizen or permanent resident? *
    • Do you identify yourself as Hispanic or Latino?*
    • Choose one or more races that you consider yourself to be (the grant requirements from the U.S. Department of Education require you to select at least one race category): *
    • Qualification Information 

    • Please remember that you must meet at least one of the following to qualify for services.

      *First Generation Qualifications: Complete only for parent(s) or guardian(s) who you primarily lived with while attending high school.

    • Have either of your parents/guardians earned and received a bachelor’s degree? *

    • Disability Qualifications: Student Disability Status (voluntary)

    • Do you have a disability?
    • Have you met with Access & Accommodations Services regarding accommodations? *

    • Low-Income Qualifications

    • Have you applied for Financial Aid? *
    • If yes, did you receive a Pell Grant?
    • Military Connection Information 

    • Veteran Status

    • Are you a member of the U.S. Armed Forces? *
    • Are you a member of the U.S. Reserve Forces*
    • Are you a child or spouse of a military-connected person? If so, please check the appropriate box below
    • Educational Information 
    • Did you earn a high school diploma? *
    • Did you earn a GED?
    • What is your academic classification for the upcoming school year?*
    • Are you*
    • Are you (check all that apply)*
    • Were you a TRiO participant at another school? *
    • If so, check all that apply
    • When did/will you start at Georgia State University’s Perimeter College, Alpharetta?*
      Rows
    • Attendance at Perimeter College-Alpharetta?*
    • Do you intend to earn a bachelor’s degree? *
    • Do you intend to graduate from Georgia State University’s Perimeter College-Alpharetta?*
    • Living and Financial Information 
    • Have you ever been in foster care or in a court appointed guardianship? *
    • If yes, were you in foster care after the age of 13 years old?
    • Do you have a fixed, regular and adequate night-time residence? *
    • Check the amount below which best matches your household’s current level of taxable income: (This amount can be found on tax forms 1040-line 11b)*
    • Have you applied for Financial Aid (FAFSA) for the current academic year? *
    • Which categories of Financial Aid do/will you receive? (check all that apply)*
    • Academic Needs (Self Report) 
    • In addition to meeting with your TRiO SSS Education Program Specialist, you will be required to participate in other programs/events. Of the following programs/workshops, please indicate which would be most interesting or helpful to you. Please check all that apply and you will discuss further with your EPS.
    • How did you hear about TRiO Student Support Services at Alpharetta?*
    • Release of Information 
      • I give my SSS Director and Education Program Specialists permission to communicate with professors/advisors/tutors and other GSU Perimeter College-Alpharetta professionals to discuss academic information.
      • I give permission to release my name for recognition purposes (scholarships, awards, etc.).
      • I understand that completion of this application does not constitute acceptance into the TRIO Student Support Services program. I also understand that if I am accepted, I will be assigned to a TRIO SSS Education Program Specialist, will be encouraged to take advantage of tutoring, academic advising, and workshops; participate in educational and cultural opportunities. Program participation is necessary to remain in the program.
      • I hereby give permission for TRIO SSS staff to disclose and receive information concerning the nature of my eligibility and information concerning my academic progress on an as-needed basis with appropriate faculty and staff at Georgia State University Perimeter College, Alpharetta. I also give TRIO SSS staff permission to photograph me for promotional purposes, to view and receive any/all financial aid information, as well as receive information from past, current, and future schools. By initialing and submitting this application I am signifying that I have read and understood this application, and that what I have reported is truthful and accurate.
    • Date
       - -
      2 digit month, 2 digit day, 4 digit year
    • Status
    • Submit 
    • Should be Empty: