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TRIO Financial Assistance Application

To be eligible for this award, you must be an active 2nd semester active TRIO participant, be enrolled in at least 6 credits, have a cumulative GPA of 2.5 and have completed financial literacy training.

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Student ID #*

Martial Status*

Single

Married

Other

Number of People in Your Household*

Number of Dependent Children (if applicable)

Employment Status*

Full-time

Part-time

Work-study

Other

Place of Employment*

Current Semester*

Spring

Summer

Fall

Year*

Number of Credits Completed*

Current Number of Credits*

Cumulative GPA*

Program of Study*

Do you have any federal or state liens or judgments against you?*

Yes

Please explain (please note that this will not affect your eligibility for aid):*

Have you applied for emergency scholarship funding through the Laurel Ridge Foundation Office?*

Yes

For how much and for what purpose?*

Please include a written statement that identifies your need(s) including: (1) Your participation in TRiO activities within the past year, (2) How you have benefited from being a part of the TRiO program, and (3) How this assistance would help your emergency situation.*

Applicant's Electronic Signature*

Applicant’s signature authorizes the TRIO Program to obtain all academic and financial information necessary to determine applicant’s eligibility.

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