Florida State College-Jacksonville-EOC-Application Form

  • TRiO Educational Opportunity Centers (EOC)
    Florida State College at Jacksonville
    101 W State St., Room A2101 J
    Jacksonville, FL 32202
    (904) 633-5895
    eoctrio@fscj.edu www.fscj.edu/eoctrio

     

    Educational Opportunity Center is a fully-funded TRIO program of the U.S. Department of Education, and is mandated to serve low income individuals and/or first generation college students or potential first generation college students, as well as veterans. Submit at EOC office, Florida State College at Jacksonville, or by email.

    • PARTICIPANT APPLICATION 
    • Gender:*
    • Date of Birth:*
       - -
    • Receive texts:*
    • Type of Education/Training Interested In Today*
    • Check all Services Needed
    • Ethnic Background*
    • Military Service*
    • Marital Status*
    • Do you live, study, or work in any of these areas?*
    • Are you a U.S. Citizen?*
    • If not a U.S. Citizen, are you a Permanent Resident Alien?
    • Are you a dependent?*
    • Did either of your parents earn a Bachelor Degree (4-year college degree)?*
    • What is your highest level of education completed?*
    • Have you earned a bachelor's degree?

    • Please bring supporting documentation of legal status to the first interview (SS card and resident or voting card)

    • Are you currently taking classes in a high school or GED Program?*
    • Have you earned a high school diploma or GED?
    • Are you currently taking classes in a college or post-secondary program?*
    • Have you ever attended a college or university in the past?*
    • First Date of Attendance*
       - -
    • Final Date of Attendance*
       - -
    • Did you earn a certificate or associate degree?
    • If English is NOT your first language, do you have problems speaking, reading, or writing in English?*
    • Were you in Special Education at any time during your school years or are you disabled?*
    • What is your current employment status?

    • NOTE: Taxable income can be found on the federal income tax return. On IRS Tax Form 1040 see line 43 On IRS Tax Form 1040A see line 27 On IRS Tax Form 1040EZ see line 6

    • Education Level

    • Identify careers or professional field you would be interested in receiving information about:

    • How did you learn about our services?
    • Please check ALL the services you need:

    • I, {main_name}, by signing this application, certify that all the information on this application is true. Furthermore, I hereby give the EOC permission to forward my information to other programs and/or departments within the College whose services will best meet my needs.

    • OPT – OUT
    • Clear
    • Date Signed*
       - -
    • Are you under the age of 18?
    • Clear
    • Date Signed
       - -
    • Submit 
    • Should be Empty: