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TRIO SSS APPLICATION
TRIO SSS Application - New as of 5.2025
Email *
High School/GED Status: *
How did you hear about TRIO SSS at Miami University Regionals? *
Required
Name of High School: *
Month/Year of High School Graduation or GED Completion: *
Previous College Experience: *
College Plans: *
Anticipated first (or returning) semester/term at Miami University Regionals: *
Anticipated Date of GED Completion/High School Graduation: *
Your First Name *
Your Preferred First Name (if different from above)
Your Middle Initial *
Your Last Name *
Your Preferred Personal Pronouns:
What is your date of birth?  (Month/Day/Year)
What is your Miami Unique ID? (Not Banner Number) *
What is the best phone number to reach you at? (Include area code) *
Can the TRIO SSS Staff members communicate with you via text message regarding your application or other TRIO related items? *
What is the best email address to reach you at? *
Race (Check all that apply) *
Required
**What Is Your Complete Mailing Address?  (Include Zip Code.  Include Unit Number, if applicable) *
Emergency Contact Name: *
Emergency Contact Phone Number: (Include Area Code) *
Are you a U.S. Citizen? *
If you are not a U.S. Citizen, are you a Permanent Resident?
Clear selection
If you are not a U.S. Citizen, please enter your A-Registration number as listed on your permanent resident card:
Which campus would you prefer for TRIO Services if you are accepted to TRIO? *
What are your Degree Plans? (TRIO SSS can only serve students pursuing a bachelor degree.) *
Have you ever participated in any other TRIO programs *
Check all the TRIO programs you have participated in before now:  *
Required
At what school did you participate in a TRIO program? 
Are you in foster care, or did you age out of foster care? *
Were you required to include your parent/guardian's income on your FAFSA? *
Do you live with your parents or guardians? *
Number of people in student's household? *
What was your family's household Taxable Income for the year 2023? *
Do you receive any of the following?
Do you have legal dependents? (e.g. children or seniors you are legally responsible for) *
By checking here I agree that all of the information provided under Income Status is true to the best of my knowledge *
Did one of your parents or guardians complete a Bachelor's (four year) degree at a college or university? *
If unknown, please explain:
By checking here I agree that all of the information provided under First Generation Status is true to the best of my knowledge. *
Do you have a need for (dis)ability accommodations? *
Have you registered with Miami's Office of Disability Services?
Clear selection
By checking here I agree that all of the information provided under Disability Status is true to the best of my knowledge. *
Why are you interested in joining TRIO Student Support Services?   *

Privacy Release:  MIAMI UNIVERSITY - TRIO STUDENT SUPPORT SERVICES FERPA RELEASE FORM:  The 1974 Family Education Rights and Privacy Act (FERPA) is a Federal law that protects the privacy of student education records, both financial and academic.  For the student’s protection, FERPA limits release of student record information without the student’s explicit written consent.  I do hereby give my consent for Miami University to release information to TRIO Student Support Services, from my education records, which includes but are not limited to:  Academic Records - including GPA, class standing, academic status, course schedule, major, etc.  Financial Records - including Income tax information, Taxable income, etc.  I acknowledge by my signature that I understand although I am not required to release my records, I am giving my consent to release this information.  I understand that this release remains in effect unless I revoke such consent in writing and the revocation is delivered to the institution.  


 *
Publicity Release:  The TRIO SSS staff may include my name and/or picture in publications, including the SSS website, social media or flyers.  The website highlights student accomplishments and participation in campus and SSS Program activities. *
By checking here I agree to the terms and conditions in the TRIO Student Support Services Admission Contract and affirm that all information provided on this application is true and complete to the best of my knowledge. *
Required
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