TRIO Application

    Instructions
    This application is for a federal funded program.  Please complete all sections of this form.  The confidential information on this form is strictly for the Office of Student Support Services and will not be released to anyone without written consent except to authorized personnel.
    Personal Information
    Mailing Address
    Mailing Address
    Preferred Method of Contact
    Preferred Method of Contact
    Gender
    Gender
    Birthdate
    Birthdate
    Ethnic Background
    Ethnic Background
    Are you a U.S. Citizen?
    Are you a U.S. Citizen?
    Are you a permanent resident?
    Are you a permanent resident?
    Are you a member of a General Baptist church?
    Are you a member of a General Baptist church?
    Family Education History
    Have either of your parents earned a Bachelor's Degree (a 4-year degree)?
    Have either of your parents earned a Bachelor's Degree (a 4-year degree)?
    General Information
    Do you work?
    Do you work?
    I plan to live:
    I plan to live:
    Do you have a DOCUMENTED physical disability? (Documentation Required)
    Do you have a DOCUMENTED physical disability? (Documentation Required)
    Do you have a DOCUMENTED learning disability (Documentation required)?
    Do you have a DOCUMENTED learning disability (Documentation required)?
    Agreement
    By typing my name below, I authorize the Student Support Services staff to access any and all academic/financial aid records available from my school(s) I previously attended or presently attend.  I further authorize the staff to make copies of any or all academic and financial aid records, with the understanding that all records will remain confidential.  I authorize Student Support Services staff to forward copies of all disability documentation to appropriate OCU staff.  I certify that I have read this application and that it is accurate and complete to the best of my knowledge.