• Application

  • Are you currently enrolled at Palo Alto College?*

  • Eligible students must be a citizen or national of the United States, a permanent resident, or meet the residency requirements for Federal Student financial assistance.

  • Are you a U.S. Citizen or U.S. national, permanent resident, or an individual who meets the residency requirements for Federal Student financial assistance?*
  • Have you earned a college degree or certification?*
  • If yes, please select the type of degree:
  • Do you have a documented disability? (This question is used to determine program eligibility and your responses will be kept secure. Selecting “Yes” will not keep you from being selected for the program. Students who select “No” or “Prefer not to answer” may be admitted using other means of program eligibility.)*
  • If yes, are you currently receiving services from the Disability Support Services Office.
    • INCOME VERIFICATION INFORMATION 
    • Did you submit a FAFSA?*
    • Did you have children or other dependents (other than a spouse) who receive more than half of their support from you?

    • (*Taxable income is adjusted gross income (AGI) MINUS allowances for personal exemptions and itemized deductions.)

       

      Taxable income can be found on a federal income tax return on the following lines:

      On IRS Form 1040, see line 43.

      On IRS Form 1040A, see line 27.

      On IRS Form 1040EZ, see line 6.

    • Have your financial circumstances changed due to special or unusual circumstances (i.e., job loss, etc.)?

    • If you cannot provide income information, please call the TRIO Student Support Services office at 210-486-3193.

      This is to certify that the above information is correct to the best of my knowledge.

    • Clear
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    • ADDITIONAL DEMOGRAPHIC INFORMATION  
    • Are you currently participating in another TRIO program?*
    • If yes, please indicate which program you currently receive services from?
    • Have you previously received services from a TRIO program?
    • If yes, please indicate which program you currently receive services from?
    • PARENT/GUARDIAN EDUCATIONAL INFORMATION  
    • Student was raised by:*
    • Did any of the individual(s) selected in the previous question earn a 4-year Bachelor’s degree from a college or university?*
    • EMERGENCY CONTACT 

    • By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of my official academic records to the TRIO Student Support Services project at Palo Alto College, understanding that the information in these records will be used only to assess the need for TRIO program services, discern educational progress, evaluate the effectiveness of TRIO program activities, and fulfill TRIO program-reporting requirements to the U.S. Department of Education.

    • Clear
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    • I ☐ Do or ☐ DO NOT grant permission for my pictures to be published in TRIO Student Support Services materials such as newsletters, annual reports, web pages, and recruiting presentations and release Palo Alto College from any liability related to publicity.
    • Clear
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