Morehead State University-SE-EOC-Application Form

Did either of your parents, or the parent you lived with prior to your 18th birthday, receive a 4-year college degree?*

YesNo

What is the highest grade you completed?

If a current High School Senior, list High School name

Are you currently enrolled in an Adult Education Program?

YesNo

Are you currently enrolled in a postsecondary institution?

YesNo

Have you ever attended a community or technical college or a university in the past?

YesNo

Month/Year

mm/yyyy

What is the name of the school?

Did you earn a certificate or associate degree?

YesNo

Do you receive SNAP benefits?

YesNo

In what type of education or training are you interested?*

GED/Adult EducationVocational/Technical School2-year College4-year College/University

Where do you intend to apply?

What is your intended major?

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.

Participant's Signature*

Entry Date*

mm-dd-yyyy

Parent's Signature

Date

mm-dd-yyyy

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

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