• Authorization for EOC Services and Confidential Financial Statement

  • Applicant Information

  • Date of Birth:*
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  • Ethnicity:*
  • Gender:*
  • Are you a U.S. Citizen?*
  • If NO, are you a Permanent Resident or intend to become a Permanent Resident? (You will be required to provide documentation)*
  • Did either of your parents earn a Bachelor's Degree before you were 18 years of age (biological or adoptive parents with whom you live now or lived with previously)?*
  • Are you military-connected? (Please check any that apply to you)*
  • Are you participating in any other TRIO Program?*
  • If yes, which one?
  • Please mark the box that most closely describes your current educational status:*

  • Financial Information

  • Applicants over 24 years of age: Complete the questions below regarding your household size and income.

    Applicants under 24 years of age: You may be required to submit your parent's income and their signature. If a parent is not available, parent's documentation may be requested by your Educational Specialist. If you think you are considered an independent student (married, parent, in foster care, veteran, etc.), talk to your Educational Specialist about whose income to report.

  • Are you considered a financially independent student or a financially dependent student?   To determine, check ALL the options that are true for you:

  • If you checked any of these boxes, you are considered an independent and you will answer the financial questions about yourself.

    If you did not check any of these boxes, you are considered a dependent student, and your PARENT will answer the financial questions and sign this form. 

  • If you don't know your taxable income, but know your adjusted gross income range, please choose a range below, and we will calculate your taxable income.*
  • Did you (or your parents) file income taxes last year?
  • If yes, what was your (or your parent's) filing status?

  • Disclaimer and Signature(s)

  • Applicant and/or parent/guardian signatures below certify the information provided on this application is true and correct to the best of my knowledge, and authorizes UTK EOC to release or request information related to the Applicant's educational processes, including financial aid to and from 1)institutions and entities; 2) parents/guardians of the Applicant; and 3) the National Student Clearinghouse for the purpose of tracking Applicant's post-secondary education program.

  • Clear
  • Date*
     - -
  • Clear
  • Date*
     - -
  • Should be Empty: