As a participant in the Midwestern State University TRiO Student Support Services (SSS) program, I am committed to my education. To gain the full benefits of the program, I will make a commitment to my academic goals and the services provided by Student Support Services.
I understand and I will strive for 100% class attendance and 100% class completion. I also understand that the SSS Staff will review data from my application and interviews to assist in assessing my academic and career planning needs. Therefore, all information used will be kept strictly at the highest level of confidentiality. I give SSS Staff permission to inquire about my class attendance, class work, and tutoring sessions, and receive grade reports; and, I give my instructors permission to release such information to SSS Staff when requested. The SSS Staff will assist me in achieving my academic goals only if I uphold my responsibilities as a participant. I authorize the SSS Staff to gather information concerning all my academic records and financial aid status.
I understand that this information is used to help determine my eligibility for the program and kept strictly confidential. I grant permission for SSS Staff to gather information for follow up whenever appropriate, including, but not limited to, transfer and progress to 4-year institutions. I am aware that my eligibility and financial aid status will be reported to the U.S. Department of Education in accordance with the grant funding regulations. I certify that the information provided on this application is true and complete to the best of my knowledge. I also agree to provide documentation upon request to verify the information reported.
I am aware that personal information provided to the TRiO Student Support Services program will be protected under the Federal Education Rights & Privacy Act (FERPA) of 1974. No one will have access to the information shared unless they work for SSS or are specifically authorized by the Program Director to see the information.
LIMITATIONS OF CONFIDENTIALITY
Student Support Services (SSS) is here to support the students that we serve to help address any barriers that may occur that get in the way of academic success and personal growth while in college. However, based upon state and federal guidelines we are mandatory reporters for certain topics. SSS Staff will always communicate with a student prior to making a report that involves their personal information and invite the student to participate in this process, however the report must be made regardless of student involvement in the process. Instances in which confidentiality must be suspended to ensure the safety of vulnerable populations include:
1. A mental health crisis where there is considerable risk of significant self-injury or death.
2. Information that another student, staff, or faculty member is at risk of physical violence resulting in significant injury or death.
3. Abuse or neglect of a child
4. Court ordered subpoena