SSS-Application



The TRIO Student Support Services Program at Arizona State University offers invaluable educational opportunities for eligible on-ground undergraduate students who are currently enrolled and pursuing their first baccalaureate degree. This program is federally funded by the U.S. Department of Education and aims to support students in achieving their academic and personal goals. Participants in the TRIO Student Support Services Program benefit from the guidance of a professional mentor, access to a private and comfortable TRIO study room, complimentary printing services, and use of advanced technology and textbooks. Additionally, the program offers enriching experiences such as field trips, community service opportunities, and financial literacy workshops that assist with budgeting and money management. Students also have the chance to participate in summer experiences that provide a head start in research, preparation for graduate, medical, or professional school, and career development. These resources and opportunities are designed to foster a supportive and enriching educational environment, helping students to excel in their academic pursuits and beyond.
General Information
Legal First Name
Middle Name
Last Name
Preferred Name
Please list your preferred pronouns:
ASU Student ID
Cell Phone Number
ASU Email Address

Additional Information for Dependent Students
If you are a dependent student based on financial aid's criteria, please provide the following information
Parent's Full Name
Parent's Email Address
Are either of your parents a veteran? Yes No Unknown

Academic Information
Major Early Childhood Education Elementary Education Elementary Multilingual Education Other Physical Education Secondary Education Secondary Education (Biological Sciences) Secondary Education (English) Secondary Education (History) Secondary Education (Mathematics) Special Education Special Education (Visual Impairment)
Is your major Science, Technology, Engineering, or Mathematics (STEM)? No, my major is not STEM-related Yes, my major is STEM-related Unsure
Are you a former TRIO Participant? Yes, I am a former TRIO participant (TRIO SSS, Upward Bound, EOC, or Talent Search) No, I am not former TRIO participant.
Where do you plan to graduate from? Downtown Polytechnic Tempe West
Program Entry Grade Level 1st yr., attended before 1st yr., never attended 2nd yr./sophomore 3rd yr./junior 4th yr./senior 5th yr./other undergraduate No response/Unknown
Is English your second language? No, English is not my second language Yes, English is my second language
How did you hear about TRIO? Website Other Orientation Day or Transfer Day Teacher/Professor Friend Advisor TRIO Student

Eligibility
Please select your citizenship status: United States Citizen Eligible Non-Citizen
Generally, you are an eligible noncitizen if you are one of the following: U.S. permanent resident, with a Permanent Resident Card (formerly known as an Alien Registration Receipt Card or "Green Card”) Conditional permanent resident (I-551C) Other eligible noncitizen with an Arrival-Departure Record (I-94) from the Department of Homeland Security showing any one of the following designations: “Refugee,” “Asylum Granted,” “Indefinite Parole,” “Humanitarian Parole,” or “Cuban-Haitian Entrant” A citizen of the Republic of Palau (PW), the Republic of the Marshall Islands (MH), or the Federated States of Micronesia (FM).
Does your mother have a baccalaureate degree? No, my mother does not have a baccalaureate degee Yes, my mother has a baccalaureate degree Unsure
Does your father have a baccalaureate degree? No, my father does not have a baccalaureate degree Yes, my father has a baccalaureate degree Unsure
Which parent do you regularly reside and receive support from your childhood? My father My mother Both parents
Are you a person with a documented disability? Yes, I am. No, I am not.
Does your household meet the federal government's guidelines for low-income? No my household does not meet the federal government's guidelines for low-income. Yes, to the best of my knowledge, my household meets the federal government's guidelines for low-income.
Click Here to Review: Government's Guidelines to Low Income Levels
Dependency Status Questions on the 2024-2025 FAFSA Form Please click on this link (2024-2025 FAFSA Form) to see the Department of Education's criteria for Dependency or Independency.
Based upon the questions in the FAFSA link, are you considered a Dependent or Independent Student? * I am a Dependent Student I am an Independent Student

Self Assessment What are your needs and/or concerns? (Please check all that apply).
Academic
Improve writing skills (spelling, grammar, vocabulary)
Increase reading comprehension, reading speed, memory
Improve math skills and/or reduce math anxiety
Improve study habits (note-taking skills, time management)
Improve GPA
Personal
Becoming more involved on campus
Concerned about transitioning to ASU
Afraid of failing in college
Difficulty meeting new people
May benefit from personal counseling
Difficulty participating in discussions
Problems at home
Limited and/or no support from family/friends
Financial
Need assistance completing my FAFSA
Difficulty budgeting money
Financial concerns
Well being
Health concerns
Concerns with maintaining physical health
Other
Choosing a major and/or career path
Familiarity with campus resources
Out of school too long (5+years)
Limited computer and/or internet skills
Unsure of college procedures

Additional Information and Surveys
Please complete Angel Duckworth's Grit Scale - click here.*
Please enter your GRIT score here:
Please complete the Education Assessment Learning Styles - click here.*
Please list your Auditory Percentage here:
Please list your Visual Percentage here:
Please list your Tactile Percentage here:

Verification of Taxable Income
If you listed yourself as a DEPENDENT student, then your parent(s) will need to complete the information below and sign. If you listed yourself as an INDEPENDENT student, then you (ASU student) will need to complete the financial information below. No parent signature required.
Enter how many people are in your family residence:
Using information reported on your 2024 filed federal tax return, please answer the following question related to your income. Taxable income on line 15 (2024 Form 1040).
My taxable income, as reported on my most recently filed federal tax return (LINE 15) is:
I did NOT file a 2024 federal tax return:
I decline to disclose my taxable income and family size. I understand this may impact mine or my student's eligibility to participate in the program.
Parent Agreement and Signature If the ASU student listed themselves as DEPENDENT, then a parent signature is REQUIRED. I am the parent of the above ASU student and answered the appropriate questions to the best of my knowledge.
Parent Signature: Please select a signature verification type.
Student Agreement and Signature
By signing below, I hereby apply for services in the TRIO Student Support Services Program. I certify that all information provided is accurate to the best of my knowledge. I authorize the TRIO Student Support Services Program staff to access my financial aid information, and/or I will provide necessary financial documentation upon request. Furthermore, I consent to the use of my personal information, including my name, photograph, graduation status, college affiliation, major, and any awards or scholarships received by the TRIO staff for promotional purposes in publications or ASU display cases. Additionally, I authorize the release of my student academic and financial aid records to the Program Director for the purpose of reporting to the Department of Education. I also grant permission to the TRIO Student Support Services Program staff to contact the Student Accessibility and Inclusive Learning Services (SAILS) to confirm my registration status with that office. If the parent(s) signing this form are veterans, they may be contacted by the TRIO Veterans Upward Bound program, which is designed to provide information about post-secondary opportunities to veterans. Furthermore, by signing this form, parents consent to receive information from Arizona State University and its departments and/or colleges.
* Please select a signature verification type.