2026 Intake Form

  • Intake Form

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  • Gender*
  • Marital Status*
  • Military Status*
  • Do you support a child/dependent?*
  • Are you receiving services from another TRIO Program?*
  • If English is not your native language, does this affect your ability to learn?*
  • Citizenship Status*
  • Ethnicity*
    • Financial Data 
    • Source of Income*
    • Required to file income tax?*
    • Recent Taxable Income*

    • Important Note: TCC-TRIO/EOC is required to have your parent's signature: to verify their taxable income above if you are considered a "dependent" according to federal FAFSA guidelines. In addition, you may need to provide supporting documents if you are "independent". Please consult with you TRIO/EOC Academic Counselor if you have any question.

    • Clear
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    • Educational Data 
    • Do either of your parents have 4-year degree?*
    • Client's educational status (Not Parent's)*
    • Earned*
    • Educational Goals or Plan of Study 
    • Certification/Permission 

    • I, the client, certify the above information is accurate and complete to the best of my knowledge. The TCC-TRIO/EOC staff has my permission to receive copies of my educational records and other material necessary for participation in their services. I further understand all my records will be kept in confidence and in accord with the Privacy Act of 1984. Permission is granted to send enrollment and financial aid information to TRIO/EOC of Tulsa Community College, 10300 East 81st Street, Tulsa, OK 74133-4513.

    • Clear
    •  - -
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