The University of North Carolina at Greensboro Student Success Center

First-generation college student means:

1. A student neither of whose natural or adoptive parents have received a baccalaureate degree; OR
2. A student who, prior to the age of 18, regularly resided with and received support from only one parent who did not receive a baccalaureate degree; OR
3. An individual who, prior to the age of 18, did not regularly reside with or receive support from a natural or adoptive parent

Documentation of Household Size and Taxable Income is required to determine Financial eligibility for participation in the TRIO Ronald E. McNair Scholars Program.

STUDENT INFORMATION:

STUDENT CONSENT:

By my signature below, I, {income_student_name}, authorize and direct the University of North Carolina at Greensboro (UNCG) to:

• A. Verify my family’s income for the preceding year, using Federal Tax Information (FTI) data from my Free Application for Federal Student Aid (FAFSA), for the purpose of verifying my eligibility to participate in TRIO programs.
• B. Verify my family’s non-filing status for the preceding year using Federal Tax Information (FTI) data from my Free Application for Federal Student Aid (FAFSA), for the purpose of verifying my eligibility to participate in TRIO programs.
• C. Produce and release an un-redacted copy of the preceding year’s, Institutional Student Information Record (ISIR) to my attention, for the purpose of verifying my eligibility to participate in TRIO programs.

To participate in TRIO programs as a “low-income individual,” my family’s taxable income cannot exceed 150 percent of the poverty level amount established by the Census Bureau. In absence of an IRS tax transcript, UNCG will utilize Adjusted Gross Income (AGI) information provided during FAFSA Completion.

I agree that such verification described in options A and B may be provided to TRIO staff employed by UNCG and involved with the supervision and direction of projects funded under the Federal TRIO programs.

I understand that the above records and information:

1. May include return information disclosed under section 6103(l)(13) of title 26; and
2. May only be used for the specific purpose outlined in this consent form and no other purposes.

It is my intent that this consent form be interpreted to the extent permitted by applicable law, including but not limited to the Internal Revenue Code, the Higher Education Act, and the Family Educational Rights and Privacy Act.

Academics at UNCG

Grade Point Average:

Emergency Contact

Information and Photo Release (please read carefully!)

I understand that my student ID number is required for and will be obtained and handled confidentially by program staff for federal reporting purposes. I hereby grant permission to UNCG-McNair to obtain required information from my personal file and student records (including enrollment, attendance, grades, financial aid, disability documentation, and student employment) for the purpose of helping me to succeed while enrolled at UNCG. I also hereby grant permission to UNCG-McNair to use photographs of me, taken during program events for the program website or other program publications.

I understand that, if I am accepted into the UNCG McNair Scholars Program, I will be expected to participate fully in the McNair Summer Research Institute, may not hold any employment, or take any classes during the summer, and must present a completed research project at the end of the Summer Research Institute

By signing this application, you agree that all of the information on this application is true and accurate to the best of your knowledge. You also agree to allow UNC Greensboro University to solicit further information as needed from various offices and departments both on and off campus. This information will be kept confidential and will only be used as part of McNair Scholars membership selections and purposes related to alumni of the UNCG McNair Post Baccalaureate Achievement Program.