• Susquehanna University

    TRIO STUDENT SUPPORT SERVICES (SSS) APPLICATION
    Student Support Services (SSS) at Susquehanna University is a federally funded TRIO program. The program is designed to assist students who are first-generation and/or income-eligible or who have a documented disability in finishing their bachelor’s degree.

     

     

    For questions or concerns, please contact

    Bhavani Ali | Director | Balavenkatesan@susqu.edu

     

     

    This is a highly competitive program. After review of your application, you will be contacted by email for an intake meeting.

     

    PLEASE make sure that your application is complete upon submission to avoid a delay in consideration.

     

    • General Information 
    • Date of Birth:*
       - -
    • Gender*
    • Ethnicity*
    • Race (select one or more)*
    • Are you a U.S. citizen or permanent resident?*
    • Are/were you active in the military?*
    • Do you consider yourself a non-traditional student over the age of 25, married, or children/dependents)?*
    • Are you involved in SU Athletics?*
    • Have you previously participated in a TRIO program?*
    • If "Yes," indicate the program(s) below in which you participated:
    • TRIO STUDENT SUPPORT SERVICES ELIGIBILITY VERIFICATION FORM 
    • (Please do not leave blank spaces on this form; omitting information delays consideration of your application.)
       

      According to federal policy (Higher Education Act (e) (1)), TRIO SSS must be able to provide documentation of a student’s eligibility for the program to the U.S. Department of Education.

      If requested in the event of a federal audit, participants and their parents/guardians may be asked to provide copies of tax returns to document the financial information below.

    • First- Generation Status*
    • Did you complete the FAFSA this year?*
    • Have you ever lived in foster care?*
    • Have you ever been homeless?*
    • Academic Background 
    • Have you ever had an IEP or 504 plan?
    • Are you registered with the Office of Disability Resources and Services?*
    • Do you have an ongoing health condition?*
    • Have you been diagnosed with a learning or physical disability?*
    • Are you currently or have you previously engaged with counseling services?*
    • Please select the best fit scenario:*
    • First-time Susquehanna University Freshman during the 2021-2022 Academic Year

    • Status:*
    • Are you interested in pursuing a degree beyond the Bachelor’s (4-year) level?*
    • Current Susquehanna University Student (second year or above – Fall 2021)

    • Are you interested in pursuing a degree beyond the Bachelor’s level?*
    • Did you participate in a Pre-Flight program?*
    • Incoming Transfer Student (Fall 2023)

    • Status:*
    • Returning Student

    • Status*
    • Certification Statement
      By signing below, I/we verify that the information on this form is accurate and complete to the best of my/our knowledge. This information will be kept confidential in a secure location and used only by TRIO SSS staff to verify eligibility for the services of the program upon admission.

    • Clear
    • Date*
       - -
    • If you are not 18 on the date this application is submitted, a parent signature is needed.

    • Clear
    • Date
       - -
    • Submit 
    • Should be Empty: