Write Your Own Story

2018-19 TRIO STUDENT SUPPORT SERVICES PROGRAM APPLICATION

 

PROGRAM APPLICATION

TRIO SSS-STAR is a comprehensive academic support program whose mission is to guide, support, and retain its students at Bloomfield College. Its services are designed to enhance the performance, retention, and graduation rates via personal counseling, tutoring, advising, career guidance, and participation in leadership, cultural, and social activities. The information requested below documents your eligibility and establishes your personal record. All information will be kept confidential.

The application Priority Deadline is September 21, 2018. Students who apply before this date are given preference regarding acceptance. Please return the completed application to the TRIO SSS-STAR Program in the Learning Resource Center (LRC), Room 107.

If yes, please also contact Disability Services (ext. 1654) for information about registration and support services.
If yes, please also contact Office of Adult Student Services (ext. 1257) for information about registration.
(include self)
CERTIFICATION STATEMENT - I understand that my enrollment in the Student Support Services Program is contingent upon verification of my income level, first generation status, and enrollment capacity. The federal government requires that TRIO SSS have on file documentation of taxable income, such as federal tax forms for all students admitted to the program. I authorize the TRIO Student Support Services – STAR Program staff to: Gather personal, financial and academic information (including Social Security Number) to ascertain program eligibility. Release information to the U.S. Department of Education as required for grant reporting. Use my name, photo, or information about me in any SSS and Bloomfield College media releases. Communicate verbally or otherwise with staff/faculty on my behalf.
I understand that by typing my first and last name it constitutes my electronic signature.