TRiO Programs

 

Texas A&M University - Commerce
Student Support Services/MACH III
TRIO PROGRAMS APPLICATION

Mission Statement: The TRIO Program of A&M-Commerce is designed to assist Low-Income and First Generation college students with a quality education. Our Goal is to ensure that each student is provided with quality tutorial assistance, college and career counseling, leadership skills and character education. We prepare student with the necessary knowledge and skills to become successful in college and in the chosen career fields.

This form determines your eligibility for this program ,allowing A&M -Commerce to better assist you in accomplishing your educational goals.
PART I

Date:                                        Social Security #:   (xxxxxxxxx)
Last Name:  First Name:   Middle:
I Plan to enroll A&M Commerce Trio Programs in  Semester  and Year 
Current Mailing Address Address Line1 AddressLine2
City:               
State:                 Zip:     Telephone# (xxxxxxxxxx)
 
Permanent Address Address Line1       AddressLine2
City                
State                   Zip:    Telephone#  (xxxxxxxxxx)
 
Email:    Date of Birth : (mm/dd/yyyy)
Gender:             Eligibility :
Physical Disability: If yes, type Agency providing assistance:
Learning Disability Previously tested If yes, year tested
U.S. Citizen:                   If Non-Citizen, are you a Permanent Resident ? (Proof from Immigration or Naturalization Services Required.)
Ethnic Origin:                             Classification:
Major:       Minor:
First Semester at A&M Commerce: (Spring/Fall/Summer-Year)
Transfer Student
Anticipated Graduation Date: (mm/dd/yyyy)
Did either parent (or guardian) graduate from  a 4-year University?
Have you applied for Financial Aid ?
Indicate the amount(s) received:
Financial Aid Awarded Amount
Pell  
TPEG  
SEOG  
Stafford Loan  
Perkins Loan  
SLS  
PLUS  
Work Study  
Texas Grant  
Scholarship(s)  

Are you employed?      Do you live with your Parent(s)?
Were you claimed on your parent's last tax return?
If  you are not Claimed ,Are you head of Household?          Household Size
Estimated Gross Earnings$ (preceding year)
_______________________________________________________________________
Indicate services needed:
 Tutoring Subjects :
Subject1:                    Subject2:                                    
Subject3:                    Other Subject (Please Specify)
(Note: If more than one Subject please enter  separated  by ",")
Counseling:
Financial Aid
Career
Academic Advising
Workshops
Cultural Enrichment Activities
Career Counseling
Study Skills Classes
Computer Assisted Instruction
_______________________________________________________________________
I certify that I have read this application and that it is accurate and complete to the best of my knowledge.
Initials                                                                      Date   (mm/dd/yyyy)


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