Klamath Community College-SSS-Application Form Logo

  • TRIO Student Support Services

  • The KCC TRIO program provides support services to KCC’s students that identify as first-generation college students, are considered low-income, and/or are experiencing disabilities. This federally funded TRIO Student Support Services program is designed to increase the student retention, good academic standing, graduation, and transfer rates of program participants.

    • STEP 1 CONTACT AND BASIC INFORMATION 
    •  - -

    • DACA STUDENTS
      Currently, TRIO SSS students must be U.S. Citizens or hold permanent resident status in the U.S. Unfortunately, this means we are unable to serve dreamer* students. It is our sincere hope that when the TRIO program regulations are reauthorized (date to be determined) that the regulations will be updated to allow us to serve more students, including dreamers.
      *Dreamer students are defined as undocumented students, DACA-mented students, tuition equity students, and students of mixed status families.

    • The financial and non-directory educational record information on your student account is confidential and protected by the Family Educational Rights & Privacy Act (FERPA). FERPA is also knows as the Buckley Amendment,

      Statute 20 U.S.C. 1232 (g), regulations 34 CRF Part 99. We cannot release information to another person without your written authorization.

    • STEP 2 ACADEMIC INFORMATION 
    •  - -
    •  - -
    •  - -
    • STEP 3 ELIGIBILITY INFORMATION 

    • 4. Income eligibility:

    • For an independent student:

    •  - -

    • The information I have stated on this form is true and accurate.

    • Clear
    •  - -

    • For a dependent student: (Needs to be completed by a parent or a legal guardian)

    •  - -

    • The information I have stated on this form is true and accurate.

    • Clear
    •  - -
    • Clear
    •  - -
    • STEP 4 VERIFICATION AND RELEASE OF INFORMATION 

    • All information I have submitted on this form is true and complete. I understand this information is confidential and will be used for statistical purposes. Further, in order to verify my eligibility and in the event that I am accepted to TRIO, I release the following information to the TRIO staff:

       

      Disability Documentation

      Mid-term and Final Grades Information

      Placement scores

      Transcripts

      Admissions and Registration Standardized Test Scores (ACT/SAT/GED)

      TRIO records of other schools

      Income Information (Federal 1040 or other appropriate income documentation) Financial Aid Information

       

      Additionally:

      1) I agree to complete an exit interview in the event of withdrawal, transferring, or graduation from KCC.

      2) I understand that TRIO administrators will contact my instructors on an as-needed basis.

    • Clear
    •  - -

    • For more information visit www.klamathcc.edu/trio

    • Submit 
    • Should be Empty: