San Antonio College-Veterans-SSS-Application Form

VETERANS STUDENT SUPPORT SERVICES PARTICIPANT APPLICATION
- Name
  
  First NameMiddle NameLast Name
- Gender
- Date of Birth
  
  MonthDayYear
  mm-dd-yyyy
- Banner ID
- Are you a U.S. citizen?
- Are you a permanent resident?
- My Permanent Resident Alien Number is
- Are you serving on active duty (for other than training purposes) in the U.S. Armed Forces?
- Are you a U.S. Armed Forces Veteran
- Primary Phone:
  (999)999-9999
- Cell Phone:
  (999)999-9999
- Current mailing address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Personal Email:
  example@example.com
- Student Email
  example@example.com
- Race/Ethnicity:
- What is your major?
- Do you currently have an:
- Associate’s degree?
- Bachelor’s degree?
- Master’s degree?
- Thank you for your interest in the TRIO Veterans SSS project. Unfortunately, we cannot offer you enrollment into the program now, as the project is geared toward assisting veteran students entering their first Associate's degree at San Antonio College. We congratulate you on your degree and wish you luck with your educational goals.
- Do currently have a degree?
- If yes, please state the degree type
- If yes, please state the awarding institution
- Do you currently have a certificate?
- Have you been a part of any of the following:
- Are you married?
- Do you have a rated disability?
- Are you registered with SAC Student Accessibility Services (SAS)?
- Name
  
  First NameLast Name
- Relationship
- Contact Number
  (999)999-9999
- Has your mother received/earned a 4-year college degree?
- Has your father received/earned a 4-year college degree?
- Has your Guardian received/earned a 4-year college degree?
- Did you apply for financial aid?
- Do you have children or other dependents (other than a spouse) who receive more than half of their support from you
- What is the total number person (including you) in your family?
- Note: Taxable income can be found on the federal income tax return.
  On IRS Form 1040, see line 15.
- My family’s taxable (not total) income from the last calendar year was:
- Did your family have any taxable income during the last calendar year?
- My family did not file a federal income tax return for the last calendar year. My family’s total income from the last calendar year was:
- Did your family file a federal income tax return for the last calendar year?
- By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of the student’s official academic records to the TRIO Veterans Student Support Services (Project Valor) at San Antonio College (SAC), understanding that the information in these records will be used only to assess the student’s need for TRIO program services, discern the student’s educational progress, evaluate the effectiveness of TRiO program activities, and fulfill TRIO program-reporting requirements. Finally, I authorize this SSS project to use the student’s name, statements and likeness, without charge, for promotional purposes in the project’s publications, advertising, video, and other formats.
- Student’s Signature
  
  Clear
- Date
  
  MonthDayYear
  mm-dd-yyyy
- Upload for: Drivers license, Student ID, Or Military ID
  
  Cancelof
- Upload DD214/Must List Character of Service
  
  Cancelof
- Upload for Disability Letter if Applicable
  
  Cancelof

VETERANS STUDENT SUPPORT SERVICES PARTICIPANT APPLICATION