Governors State University-EOC-Application Form 3
Language
  • English (US)
  • Español

  • TRIO Educational Opportunity Center Application

  • The Educational Opportunity Center (EOC) funded by the U.S. Department of Education, provides counseling and information on college admissions to qualified adults who want to enter or continue a program of postsecondary education.

    • Section 1 - Applicant Personal Information 
    • Date of Birth*
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    • Can we text you?
    • Have you ever been enrolled in a TRIO Program?
    • Section 2 - Applicant Demographics  
    • Gender*
    • Citizenship:*
    • If applicable, please check the appropriate box.
    • Ethnic-Racial Background Please check only one (1) of the following:*
    • Section 3 - Applicant Educational Status  
    • Are you fluent in the English language?
    • What is your highest level of education?*
    • Are you CURRENTLY enrolled in any of the following?*
    • Section 4 - Household Income & Educational Attainment Information  

    • Please note that taxable income amounts can be found on most tax returns and is lower than adjusted income.

    • Did either parent graduate from college with a four-year (bachelor’s) degree*
    • Section 5 – Needs Assessment 
    • What program services may be helpful to you? Check any that apply.
    • Dependency Status:

    • By signing, I certify that the above information is true and correct to the best of my knowledge. I also certify that I do not have access to a Federal Talent Search program. Further, I understand that my image may be used to promote the program. By signing this release, I authorize any official representative of the Educational Opportunity Center (EOC) at Governors State University (GSU) to request and obtain my information from any secondary or post-secondary educational institution. This information may include, but is not limited to, records concerning admissions and/or enrollment. I am also aware that the information provided to the EOC program will be protected under the Family Education Rights Privacy Act of 1974.

    • Clear
    • Date
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    • Clear
    • Date
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  • Should be Empty: