317901-Portland State University-Classic-SSS-2025 Application Form-Stephen

TRIO Student Support Services (SSS) is a college retention and graduation program, which helps students develop the academic skills and personal development necessary to successfully pursue and complete a college degree. We currently have two TRIO - SSS programs - "Classic" and "STEM" (for those in Science, Technology, Engineering, and Math majors including pre-health and Public Health Studies). Students accepted into the TRIO SSS program will be a part of the program until they graduate from Portland State.

To qualify, students must be income eligible, first generation college students (neither parent has a bachelor’s degree) and/or have a documented disability. In addition, students must also demonstrate academic need. We only have limited spaces each academic year, so please turn in your completed application as soon as possible.

Who referred you to TRIO Student Support Services?*

Eligibility
Eligible students must be:

• be a United States citizen or permanent resident AND
• low income student - check the table income levels OR
• first generation college student OR
• individual with disabilities as defined by ADA Amendments Act of 2008

All applicants to our program must:

1. be undergraduate students who are admitted full-time to Portland State University (enrolled in 12 credits or more per term). Can be co-enrolled with certain Oregon community colleges and Clark College. check for more information on co-admission.
2. have fewer than 135 college credits or have two or more years remaining until graduation
3. demonstrate academic need

● successful applicants need to have a 2.5 or higher college grade point average OR
● first term Freshman students need to have a 3.0 or higher high school grade point average
● other examples of "academic need" may be working 20+ hours a week, family responsibilities or lack of English Language Proficiency

Selection Process:
When there is limited space in the TRIO Student Support Services, priority will be given to:

● Students who are both low income eligible and first-generation college students.
● Students who are both low income eligible and have disabilities who require educational accommodation.
● Alumni of other TRIO programs, Upward Bound, Talent Search, Educational Opportunity Center, and Student Support Services from other institutions.
● Most importantly, students who are motivated to make full use of our program’s services and to become a successful Portland State graduate. It is expected that participants meet with a SSS advisor at least once a term.

Step 1: Please answer these questions about yourself.

Confidentiality of Information

Financial information and all other personal information you give to the TRIO Student Support Services program is sent to the United States Department of Education and is protected by the Federal Education Right to Privacy Act. No one may see the information unless they work for Portland State University, TRIO Student Support Services, or if you specifically authorize them to see the information. The information is necessary to determine if you are eligible to participate in the program and helps us to measure your success. The United States Department of Education has access to this information to help make TRIO Student Support Services a better program.

Name*

First NameMiddle NameLast Name

Preferred Name

Preferred Pronouns

PSU Email Address*

example@pdx.edu

PSU ID number (a 9 digit number):*

Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Phone Number:*

(999)999-9999

Date of Birth*

mm-dd-yyyy

Gender:*

FemaleMaleNonbinary or another gender'

Which term are you applying for? *

What is your current class standing?*

Freshman 0 to 44 credits (incoming Freshman included)Sophomore 45 to 89 creditsJunior 90 to 134 creditsSenior 135+ credits

Major:

Major 1*

Major 2

Major 3

Please check all that apply:*

High School diplomaG.E.D.Out of school for more than 5 yearsTransfer student

Transfer student from:*

Were you a part of another TRIO program such as Upward Bound, Talent Search, Student Support Services, and/or Educational Opportunity Center?*

YesNo

May we have your permission to contact your other TRIO program to ask for your “last date of service” with them?*

YesNo

If yes, please tell us the name of the school and TRIO program:*

Are you a US Citizen?*

YesNo

Attach your permanent resident card. If you have multiple files to upload, please merge them into ONE PDF file. The application will only accept 1 file upload. *

As defined by the United States Department of Education, required for our reporting purposes.

Ethnicity:

Are you of Hispanic or Latino descent? Hispanic or Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish cultures or origin regardless of race.*

YesNo

Race: Please mark all that apply - As defined by the United States Department of Education, required for our reporting purposes.*

American Indian or Alaskan Native – refers to a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.Asian – refers to a person having origins in any of the original peoples of the Far East, SE Asia, and the Indian subcontinent. This area includes, for example, China, India, Japan, Korea, and the Philippine Islands.Black/African-American - refers to a person having origins in any of the black racial groups of Africa.Native Hawaiian or other Pacific Islander – refers to a person having origins in any of the original people of Hawaii, Guam, Samoa, or other Pacific Islands.White – refers to a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Student Disability Status:

A. Do you have a disability that requires academic accommodations?*

YesNo

B. Are you enrolled with Portland State’s Disabilities Resource Center to receive accommodations?*

YesNo

C. If yes, do we have your permission to contact the Disabilities Resource Center to verify your enrollment?*

YesNo

Step 2: Please answer questions about your parent(s) and yourself

A. Has either parent/guardian (biological or adoptive) received a baccalaureate degree?*

YesNo

B. Prior to the age of 18, did you regularly reside and receive support from only one parent who did not have a baccalaureate degree?*

YesNo

Step 3: Please answer these questions about yourself.

D. Are you married? Answer “Yes” if you are separated but not divorced.*

YesNo

E. Do you have children or other dependents (other than spouse) who receive more than half of their support from you?*

YesNo

F. At any time since you turned 13, were both your parents deceased, were you in foster care, or were you a dependent or ward of the court?*

YesNo

G. Has it been decided by a court of your state of legal residence that you are an emancipated minor or that you are in legal guardianship?*

YesNo

H. At any time on or after July 2024, were you determined to be an unaccompanied youth who was homeless as determined by your high school or district homeless liaison or director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development?*

YesNo

I. Are you serving on active duty (for other than training purposes) in the U.S. Armed Forces?*

YesNo

J. Are you a United States Armed Forces veteran who was on active duty & released under conditions other than dishonorable?*

YesNo

K. Are you at least 24 years old?*

YesNo

Step 4: Do not skip this section. You will need your tax information to answer this section. This must be answered by either the student or by your parents/guardians.

You must answer the following questions about yourself if you are at least 24 years old OR you answered “Yes” to any of the questions in Step 3.

If you are less than 24 years old AND you answered “No” to all the questions in Step 3, please have your parents/guardians answer the following questions about themselves.

A. List the total number of persons, including you, in your household.*

To determine your household size, include:

• yourself (and if married, your spouse);
• the number of children (even if they do not live with you) who will receive more than half of their support (Support includes money, housing, food, clothes, medical and dental care, gifts, loans, payment of college costs, etc.) from you (and if married, your spouse) between July 1, 2024 and June 30, 2025. You may include any unborn children if they will be born during the school year; and
• the number of people (not your children or spouse) who live with you and receive
more than half of their support from you, and will continue to receive more than half of their support from you between July 1, 2024 and June 30, 2025.

B. What was your TAXABLE (not total) INCOME from the last calendar year (2024)?MARK ONLY ONE BOX and if asked, provide the income amount.*

My family did file a federal income tax return for 2024.My family did not file a federal income tax return for 2024.My family had no taxable income during the last calendar year (2024)

My family’s taxable income from the last calendar year was this amount:*

Taxable income is on the federal income tax return, Internal Revenue Service Form 1040, see line 15.

My family’s total income from 2024 was this amount:*

Step 5: Step 5: Attach your unofficial college transcripts if any, including transcripts from Portland State.
Freshmen, attach your unofficial high school transcripts and/or unofficial college transcripts, if any, including transcripts from Portland State.

Follow these steps on how to print your Portland State unofficial college transcripts.

Open up a browser and type https://my.pdx.edu/
Enter your PSU ODIN Username and password, then click ‘Sign In’
Click 'Academics' on the top left.
Scroll down to the Academic Records section and click 'View Unofficial Academic Transcripts'
On the drop downs, choose Transcript level 'Undergraduate' & Transcript Type 'Self Service - web display'
Go to the top right of the page to find the 'Print' icon and click it.
The Destination drop down, choose 'Microsoft Print to PDF'. Please check that Layout defaults to 'Portrait', not Landscape
Click 'Print' to save it as a PDF.

Attach your transcripts. If you have multiple files to upload, please merge them into ONE PDF file. The application will only accept 1 file upload. *

Step 6: Personal Essay. Please type a short essay.

No longer than 1 or 2 paragraphs, please share a little bit about yourself such as your education goals, possible challenges in your academic journey, and how you think we can support you.

Step 7: Federal regulations require that all participants in TRIO Student Support Services demonstrate academic need for program services

Need Assessment Survey - Please indicate the importance of each service for you during the next year of your academic career

Academic Need *

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Improving my writing skills
Improving my Math skills
Help passing required science classes (I’m not good at Science)
Help with computer skills
Find out if I have a disability
Help with my disability

Study Skills*

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Learning to manage my time better
Learning to take tests better
Learning to take notes better
Learning to manage stress better
Learning to use the library better

Educational Planning *

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Decide on a major
Raise my GPA
Understanding the requirements for graduation
Understanding my major requirements
Understanding the requirements for being admitted to my major
Graduate within ______ years

Graduate within ______ years *

Career Planning *

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Identifying careers that match my abilities and interests
Learning about the educational requirements, availability, and income for various careers.
Learning how to create a better resume
Learning how to better my interviewing skills
Get hands on experience with a career/Job

Graduate/Professional School *

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Find out more about what Grad or Professional school (Ex. medical, dental, law, pharmacy)is and if it is right for me
Selecting a graduate/professional school that matches my interests
Learn more about how I get into a graduate/professional school
Preparing everything necessary for an application

Social/Personal *

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Learning how to handle pressure from friends, family, instructors, or myself
Learning how to communicate better with instructors
Feeling more a part of the campus. Meeting more people on campus
Setting goals for the future

Financial*

	Not Important = 0	Not Very Important = 1	Somewhat Important = 2	Extremely Important = 3
Help finding and applying for scholarships
Help applying/reapplying for Financial Aid including work study
Help with understand student loan; example reducing loan debt, repayment

Do you have a need not listed above?*

If accepted into the TRIO Student Support Services program, our expectations of you as a student are:

• To meet with a Student Support Services adviser before the end of the 6th week of each term.
• To be an active participant in our program’s sponsored workshops/events
• To read and respond accordingly to our emails sent to your @pdx.edu email address.
• To be invested in your education
• To graduated!

In an effort to support your academic success, students who do not check-in with a program advisor before the end of the 6th week of each term, excluding summer, will receive a registration hold.

Student’s initials:*

Read the following statement and then sign and date on the next page.

If you (the student) are less than 24 years old and answered NO to all the questions in Step 3, your parents or legal guardian must also read the following statement and then sign and date below it. By signing this application, I attest that all information on this application is true and I understand the expectations of the TRIO Student Support Services program.

I also give my permission to access and release family and student information for the following reasons:

1. TRIO Student Support Services must report student progress and eligibility information to the United States Department of Education to demonstrate program effectiveness when requesting renewed funding.
2. At the student’s request to be a reference for employment, scholarship or internship opportunities.
3. Transfer college admission, graduate schools and financial aid offices will waive application fees for students from certain economic backgrounds and will discuss admission and financial aid opportunities with TRIO Student Support Services staff only if we have permission to release student information.
4. Portland State University’s Office of Financial Aid will provide us eligibility information and Financial Aid Award information with your permission.
5. Academic progress monitoring with faculty and instructional support staff for the purpose of the student’s continued academic success and possible intervention by program staff.
6. Record my likeness or voice on video, audio, photographic, digital, electronic or any medium and use my name with these recordings on the university’s website or other social media posting that they deem appropriate. Example, the TRIO Student Support Services website and other promotional material unless revoked by me in writing and will be included in my student file.

Student’s signature:*

Date*

mm-dd-yyyy

Signature of Student’s Parent or Legal Guardian: Required if the tax information entered was the parent's and not the student's (refer to Step 4 tax information)*

Date*

mm-dd-yyyy

If you are a CURRENT Portland State student, please skip the Summer Bridge section and scroll to the bottom of the page to click NEXT

Incoming Fall Freshman students, we are offering you an opportunity to earn 3 FREE college credits this summer.

Summer Bridge: A Class for New Fall Freshmen
Course Description:
By getting a head start on your college experience, you will earn 3 FREE college credits upon completion of the class AND a guaranteed early spot in our program. The Summer Bridge class will help incoming fall Freshmen students ease into college life by assisting in connecting to resources and services available at Portland State University; exposure to the college classroom, faculty, and staff; hearing from students about their experiences; and engaging in discussions and writing - key elements to success at the post-secondary level. In addition, expectations will be to write daily about your life, your experiences and the course material. Our goal is to provide an experience that prepares incoming Freshmen students entering Portland State University in the fall.

Soft Deadline to Apply: Monday, May 26, 2025 by 11:59 pm
Hard Deadline to Apply: Sunday, June 1, 2025 by 11:59 pm

Class Dates and Times:
Our Summer Bridge class will be taught IN PERSON. Students are expected to attend ALL class days. Missing classes may impact the grade for the class.

Class Times: 10:00 AM to 2:00 PM Pacific Standard Time.

Class days Monday to Friday:
o Week 1: July 7 to July 11, 2025
o Week 2: July 14 to July 18, 2025

Students admitted to the TRIO - Student Support Services Summer Bridge class will also have an opportunity to participate in "New Student Orientation" on July 10th, which will be part of our class curriculum.

Comments from previous Summer Bridge students about their experience:
I feel more comfortable and less scared of college.

It was a great opportunity to visit many of the resources on campus. I feel that now I'm able to navigate my way around campus much easier and am well aware of what is provided to me.

I loved how it gave me the opportunity to meet new people. Also, I got to know a lot of very useful resources on campus.

Please contact Joe Rivera Soto if you have Summer Bridge questions at 503-725-6131 or jrs6@pdx.edu

Get a head start on your college experience to earn 3 FREE college credits upon completion of the class AND a guaranteed early spot in our program.

Will you be able to participate in our Summer Bridge class?

YesNo

Your application will be reviewed after 9/1/25

If you are a CURRENT Portland State student, please skip the Transfer Bridge section and scroll to the bottom of the page to click NEXT.

Incoming Fall Transfer students, we are offering you an opportunity to earn 2 FREE upper division college credits this summer.

Transfer Bridge: A Class for New Fall Transfer Students
Course Description:
By getting a head start at Portland State, you will earn 2 FREE upper division college credits upon completion of the class AND a guaranteed early spot in our program. The Transfer Bridge class will help incoming fall Transfer students successfully transition into Portland State University by connecting to campus resources, staff, faculty and other students entering the university. The class will support participants in navigating the university systems and online tools, assist in being reflective about their skills and potential, and provide opportunities for participants to build support networks before the new academic year begins.

Deadline to Apply: Sunday, June 1, 2025 by 11:59 pm

Our Transfer Bridge class will be taught IN PERSON. Students are expected to attend ALL class days. Missing classes may impact the grade for the class.

Class Times: 10:00 AM to 2:00 PM Pacific Standard Time.
Class Days: Monday to Friday
Class Dates: July 7 to July 11, 2025

Students admitted to the TRIO - Student Support Services Transfer Bridge Class will also have an opportunity to participate in "New Student Orientation" on July 9th, which will be part of our class curriculum.

Comments from previous Transfer Bridge students about their experience:
I would strongly recommend the Transfer Student Bridge class to other incoming transfer students because it really showed me all these resources we have that otherwise, I would have maybe never known about. It helped me step out of my comfort zone because I am a shy person and even just standing to say who I was and why I was there, helped me be more comfortable in the end.

The assignments were a great help. The most important assignment was the Campus Resource Assignment. It made us do the research about where to find the resource, what they offer, and most importantly, to let us know what these resources are and to take advantage of them because we are paying for all of these things from the beginning.

This program I feel was essential to my transition from Portland Community College to Portland State. It was extremely informative as well as enjoyable. I would love to be on the student panel in the future. It was great to get advice from students that are already in the program.

Please contact Orlando Gaeta if you have Transfer Bridge questions at 503-725-6763 or gorlando@pdx.edu

Get a head start at Portland State to earn 2 FREE upper division college credits upon completion of the class AND a guaranteed early spot in our program.

Will you be able to participate in our Transfer Bridge class?

YesNo

Your application will be reviewed after 9/1/25

TRIO STUDENT SUPPORT SERVICES APPLICATION