University Of Pittsburgh-Greensburg-SSS-2026 Application Form

Pitt-Greensburg TRIO Student Support Services (SSS) Application
Thank you for your interest in Pitt-Greensburg’s TRIO Student Support Services program! Student Support Services (SSS) is a federally funded TRIO program. The program is designed to assist students who are first-generation college students and/or income-eligible and/or who have a documented disability with finishing their bachelor’s degree.

Please complete this application as thoroughly as possible. You cannot save and restart this application. First, you may want to review the questions, take some time to make notes, and gather the required information before returning to submit your application.

Required questions are marked with an asterisk (*). Information supplied in this application will be kept strictly confidential and shared only with SSS staff. If you have any questions, please contact the TRIO SSS Staff listed on the PItt-Greensburg website: https://www.greensburg.pitt.edu/academics/trio-sss
- Name:
  
  First NameMiddle NameLast Name
- Preferred Name/Nickname:
- Date of Birth:
  
  MonthDayYear
  Date
- Gender ID:
- Personal Pronoun(s):
- PeopleSoft ID Number:
- Pitt Email Address (if unknown, list alternative email address):
  example@example.com
- Permanent Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Zip Code:
- Home Phone Number:
  (999)999-9999
- Mobile Phone Number:
  (999)999-9999
- Please check here if you do NOT wish to receive text messages.
- Ethnicity: Are you Hispanic or Latino?
- Race: Which of the following do you identify as? Check all that apply:
  
  Other
- Please list any language(s) in which you are fluent:
- Are you active in the United States military?
- Are you a U.S. Citizen or Permanent Resident?
- Eligibility Information
  
  To be eligible for TRIO SSS, students must meet one or more of the following:
  
  - Be a first-generation college student (neither parent or guardian has completed a four-year bachelor’s degree)
  
  - Meet federal income guidelines
  
  - Have a documented disability (Documents will need to be filed at Pitt-Greensburg.)
  
  Also, every applicant must be:
  
  - Enrolled at Pitt-Greensburg and planning to stay at this campus until graduation. If you are not sure if you are staying here, please apply so we have your name on file.
  
  - Enrolled in a 4-year bachelor’s degree program.
  
  - Progressing toward their first bachelor's degree at Pitt-Greensburg. (The applicant cannot already hold a bachelor's degree at the time of completing the TRIO SSS application.)
  
  - A U.S. Citizen or national of the United States or meets residency requirements for Federal Student Financial Aid.
  
  - In need of academic support to successfully pursue a post-secondary educational program.
  
  Eligibility Questions:
- Parent/Guardian 1:
- Parent/Guardian 2:
- Prior to the age of 18, did you regularly reside and receive support from ONLY one parent who did NOT have a bachelor’s degree?
- Have you completed the FAFSA (Free Application for Federal Student Aid) for the current or upcoming academic year?
- Please indicate if you are considered a Dependent on someone else’s tax return or if you file as Independent.
- Do you know your 2025 household taxable income (Form 1040, line 15)?
- What is your 2025 household taxable income (Form 1040, line 15)?
- How many people in your household were claimed for 2025 tax purposes? (If you are not sure, please type “Unsure”).
- Check here if your parents/guardians (dependent students) did not or will not file federal taxes for 2025.
- Check here if YOU did not or will not file federal taxes for 2025 ONLY if your parents/guardians do not claim you as a dependent on their tax returns.
- Will you be at least 24 years old by December 31st of this year?
- Have you ever been in foster care, or have you been declared a ward of the court?
- Has it been decided by a court of your state of legal residence that you are an emancipated minor or that you are in a legal guardianship?
- Are you a veteran of the United States military?* (drop down with yes/no)
- Marital Status:*
- Do you have children or other dependents for whom you supply more than half of their financial support?
- Are you experiencing homelessness (i.e., you lack a regular and adequate night-time residence), or are you at risk of experiencing homelessness?
- How do you plan to pay for your college education? Check all that apply:
  
  Other
- Where do you live, or plan to live, while attending Pitt-Greensburg?
- If available, upload the first two pages of your parents’/guardians’ or your own income tax return.
  
  Cancelof
- I give the Financial Aid office permission to share my FAFSA data to determine my eligibility for the TRIO SSS Program.
- Do you experience a documented disability? (disabilities can be learning, physical, medical, or psychological)
- If yes, have you ever had an IEP (Individualized Education Plan) and/or a 504 Plan in school?
- If you experience a documented disability, have you registered (or do you plan to register) with Pitt-Greensburg’s Disability Resources?
- Do you give Pitt-Greensburg's Disability Resources permission to share your registration status with the TRIO SSS program?
- Have you failed any courses while enrolled in college (beyond high school)?
- Did you earn a GED (high school equivalency)?
- Are/were you required attend Pitt-Greensburg’s Summer Bridge program for conditionally admitted students?
- Do you feel you have clear educational and/or career goals?
- Do you have limited proficiency with the English language?
- Please list your current overall GPA in college (if applicable). If you do not have one yet, please write, “Not applicable.”:
- Please list your current overall GPA in high school (if applicable). If you have already been attending college beyond high school, please write, “Not applicable.”:
- Which types of academic support do you feel you might need to raise your grades in your required courses or in your major? Check all that apply:
- Have you been out of school for 5 or more years?
- Were you referred to TRIO SSS by a Pitt-Greensburg faculty or staff member?
- Please list the first and last name of the faculty or staff member who referred you:
- Month and year of high school graduation or GED attainment:
  
  MonthDayYear
  Date
- Name of high school:
- Are you a transfer student? (from another college/university)
- Please list previous colleges or universities attended:
- Are you a former TRIO participant (Upward Bound, Educational Talent Search, Educational Opportunity Center, SSS)?
- Please list your program and school/institution:
- Are you considered a non-traditional student (age 25 or older)?
- First enrollment date (or anticipated enrollment date) at Pitt Greensburg:
  
  MonthDayYear
  Date
- Current or planned enrollment status at Pitt-Greensburg:
- If you are a current Pitt-Greensburg student, what is your current academic standing?
- Current year in college or college credits earned
- Do you intend to transfer from Pitt-Greensburg before graduating?
- What month and year do you expect to graduate from college?
  
  MonthDayYear
  Date
- What are your current or intended college major(s) and if applicable, minor(s)?
- Are you interested in pursuing a degree or certificate beyond the bachelor's level? (such as a master's degree, professional degree, or graduate certificate)
- If you participate (or will participate) in Pitt-Greensburg athletics, which sport do/will you play?
- Employment status while attending Pitt-Greensburg:
- What services are you seeking from TRIO Student Support Services? Check all that apply:
  
  Other
- Comment on your expectations, the benefits you hope to receive, and/or what interests you most about participating in the TRIO SSS Program:
- How did you hear about the TRIO SSS Program? Check all that apply
  
  Other
- If you were referred by a current TRIO SSS student, professor, or staff member, please include their first and last name:
- If accepted into the TRIO Student Support Services program, I agree: 1) To be an active participant in the TRIO SSS program 2) To meet with TRIO SSS staff at least 3 times each semester 3) To utilize TRIO SSS services (such as tutoring, workshops, etc.) that will benefit my academic progress and help me achieve my personal and career goals 3) To read and respond accordingly to TRIO SSS emails/texts/phone calls and to maintain regular communication with the program staff 4) To be invested in my education and motivated to graduate
  
  Information Release:
  
  Submitting this application enables Pitt-Greensburg’s TRIO Student Support Services to obtain necessary academic and personal information and records, including grade reports & transcripts, admission; enrollment, financial aid eligibility & awards, U.S. residency status, demographic & contact information, for the purpose of determining eligibility, developing education plans, and recording & collecting program statistics. This information may be shared with the U.S. Department of Education, Commonwealth University of PA, and TRIO SSS personnel in accordance with federal regulations and university policy.
  
  Terms of Submission:
  
  By submitting this application, you acknowledge that all the above information is correct and accurate to the best of your understanding. Failure to disclose and submit complete and accurate information may result in the denial of acceptance into the TRIO SSS program.
- Applicant Signature

Pitt-Greensburg TRIO Student Support Services (SSS) Application