• Educational Opportunity Center at Texarkana College

    Program Participant Application

  • The Educational Opportunity Center at Texarkana College is a federally funded TRIO program and all services are provided to program participants FREE OF CHARGE. All individuals who meet the eligibility requirements of this program are provided information regarding financial and academic assistance necessary for them to enter the college of their choice. This is an outreach program of the U.S. Department of Education and Texarkana College.

  • SECTION 1 — PERSONAL INFORMATION

  • Would you like to receive text messaging with this phone number?*
  • Date of Birth:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender:
  • Citizenship:*
  • Ethnicity/Race: Are you Hispanic or Latino?
  • Race (Select all that apply):

  • Emergency Contact Information

  • Military Connected

  • What is your military connection status?*
  • Have you participated in any of the following programs since September 1st? (Check all that apply)*

  • Educational Background

  • Does either of your parents have a 4-year (bachelor’s) college degree?*

  • Participant Educational Background

  • What best describes your education status as of today?*

  • Federal Program Participation

  • What is your immediate educational goal?*
  • College (s) Considering or Attending*
    Rows
  • College Major (s) Considering:*
    Rows

  • Your Goals

  • What is your educational goal? Select one*
  • Have you completed a college admissions application for the semester you are attending or plan to attend?*
  • Have you completed a FAFSA for the semester you are attending or plan to attend?*

  • EOC Services Needed

  • What can we help you with? Check all that apply*

  • FINANCIAL ELIGIBILITY

  • Are any of the following true about you?*

  • Household Size

  • What is your current marital status?*
  • Including yourself, how many people are supported by your income?*
  • Are there children under the age of 18 in your household?*

  • Financial Information

  • Which of the following best describes your income last year?*

  • Authorization

  • I declare that the information on this form is true to the best of my knowledge. The Educational Opportunity Center at Texarkana College is authorized to access information deemed necessary to assist me in achieving my educational goals or in meeting the reporting requirements of the U.S. Department of Education, to record pertinent facts regarding my eligibility in the Program, services rendered, and placement. A copy of this statement shall serve as such authorization.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
    • Submit 
    • Should be Empty: