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Student Support Services Application

Please select the program you're applying to

Part 1 - Student Profile


Part 2 - General Information

Referred to Student Support Services by:
Have you participated in any of the following TRIO programs?

Part 3 - Additional Information

Plans for after graduation
While enrolled, will you be commuting over 20 miles a day to attend you classes?
What academic support do you need from Student Support Services? (Please check all workshops/services that apply?)
Educational Motivation/ Academic Concerns (Check the statements that are true for you.)

Part 4 - Eligibility Information

Highest Education Level of Parents

Parent/Guardian 1:
Parent/Guardian 2:
Did you reside with both parents during your childhood?
If not, which parent did you reside with the majority of the time?
Are you receiving accommodations with the Office of Disability Services?
Are you registered with Texas Workforce Solutions?

Part 5 - Acknowledgements/ Signatures

By typing my name and today's date, in lieu of my signature:

  • I certify that the information provided on this application is true and complete to the best of my knowledge
  • I give Student Support Services permission to access my academic and financial transcripts to verify the information contained in this application and to track my academic progress. I understand that this information will be kept confidential and will be used for the program's purpose. The SSS program staff also has my permission to communicate verbally or otherwise with staff, faculty, and/or off-campus professionals on my behalf
  • I wish to participate in the Student Support Services program at Texas State in order to achieve my education goals. I agree to participate in all recommended services and will keep all scheduled appointments to achieve these goals.