• Participant Application

    • Step 1 
    • Class Level
    • Step 2 
    • What is your birthdate?
       - -
    • Are you Hispanic or Latino?
    • What is your race?
    • What is your gender?
    • Do you have a documented disability? (must be registered with TAMUCC DS or provide documentation)
    • Step 3 
    • Are you a U.S. citizen?
    • Step 4 
    • Has your mother received/earned a 4-year college degree?
    • Has your father received/earned a 4-year college degree?
    • Which parent did you regularly reside with and receive support from during your childhood (i.e., until you were 18 years old)?
    • Step 5 
    • Are you married?
    • Do you have children or other dependents (other than a spouse) who receive more than half of their support from you?
    • At any time since reaching 13 years of age, were you an orphan, in foster care, or a ward of the court?
    • Prior to reaching 18 years of age, were you an emancipated minor or did you have a court-appointed legal guardian?
    • Are you serving on active duty (for other than training purposes) in the U.S. Armed Forces?
    • Are you a U.S. Armed Forces veteran who was on active duty & was released under a condition other than dishonorable?
    • Are you in college and working on a master’s (e.g., M.A., M.S.), professional (e.g., M.D., J.D.), or doctoral degree?
    • Are you less than 18 years of age and have no parent or guardian?
    • Are you homeless (i.e., you lack a fixed, regular, & adequate nighttime residence) or are you at risk of becoming homeless?
    • Step 6 

    • You must answer the following questions about yourself if you are at least 24 years old or if you answered YES to any question in STEP 5.
      Your parent(s) must answer the following questions about themselves if you are less than 24 years old and you answered NO to all questions in STEP 5.

    • What was your family’s taxable(not total) income from the last calendar year?

    • Receiving PELL
    • Step 7 

    • Please read the following statement and then sign and date below it. If you (the student) are less than 24 years old and answered NO to all the questions in STEP 5, your parent or legal guardian must also read the following statement and then sign and date below it.

       

      By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of the student’s official academic records to the TRIO Student Support Services (SSS) project at Texas A&M University-Corpus Christi, understanding that the information in these records will be used only to assess the student’s need for TRIO program services, discern the student’s educational progress, evaluate the effectiveness of TRIO program activities, and fulfill TRIO program-reporting requirements. Finally, I authorize this SSS project to use the student’s name, statements, and likeness, without charge, for promotional purposes in the project’s publications, advertising, video, and other formats.

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