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SSS TRIO Application

Student Support Services TRIO is a federal program that provides assistance with advising, transfer planning, career & major planning, financial literacy and tutoring in math & science.

If accepted to the program, you will work with an SSS/TRIO advisor for advising and transfer planning on a quarterly basis.

Before completing this application, please make sure you meet the following criteria.

You are qualified to apply for SSS/TRIO if you:

  • Are a U.S. citizen or registered permanent resident.
  • Have been accepted for enrollment or are currently enrolled at CBC.
  • Are at least one of the following:
    • Financially limited (according to federal guidelines).
    • A first-generation college student (neither of your parents obtained a bachelor's degree).
    • A person with a documented disability.
  • Have a 2.2 or higher college-level GPA.
  • Have earned a high school diploma or GED.
  • Are highly motivated to graduate with your first AA/DTA/AS-T and transfer to a four-year college or university.
  • Test at the following levels in math, reading and writing skills:
    • Math 50's or above
    • College-level reading
    • English 99 or above
General Information
CBC Student ID *
First Name: *
Last Name: *
Middle Name
Address: *
City: *
State: *
Zip: *
Cell Phone Number: *
CBC Email (@students.columbiabasin.edu): *

Academic Information
1. Have you earned a High School Diploma or GED? (Running Start students are not eligible for the SSS TRIO program.) *
2. What is your Major? *
▶ If "Other," please elaborate:
3. Where do you plan to transfer? *
▶ If "Other," please elaborate:
4. What is your enrollment status?

Which TRIO services are you interested in?:

▶ Academic Advising
▶ Transfer Planning
▶ Educational Counseling
▶ Financial Aid Information/Literacy
▶ Major/Career Planning
▶ Tutoring in Math & Science
▶ Campus Visits
▶ Educational Access

Individual Needs Assessment:

5. Academics: Choose what applies to you: (Optional)
6. Major/Career: Choose what applies to you: (Optional)
7. Personal: Choose the one that most applies to you: (Optional)

Personal Information


Program Eligibility:

8. Are you a first generation college student? (The parent(s) that raised you did not obtain a bachelor's degree before you reached adulthood) *
9. Do you have a disability? (Documented with Disability Support Services) *
10. Please select your citizenship status: *
11. Are you currently recieving financial aid? *
12. What makes you want to join SSS/TRIO? *
13. How did you hear about SSS/TRIO? *

Demographic Information:

▶ Gender *
▶ Ethnicity - Are you Hispanic/Latino? *

What is your Race? - Select YES for all that apply (MUST SELECT YES FOR AT LEAST ONE OPTION):

▶ American Indian or Alaskan Native *
▶ Asian *
▶ Black or African American *
▶ Hawaiian or other Native to Pacific Island *
▶ White *

Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.


Sign and Submit:
Applicant Signature *
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Signature: (Type in your full name)
I agree to the terms included.

Student Support Services/TRIO is a federal grant through the US Department of Education. When applying to participate we must verify your income status.

Please review the following income levels to determine if you are considered low-income and then answer yes or no. Checking “No” does not necessarily mean you cannot participate in SSS/TRIO. If you are under the age of 24, you must also have your parent or legal guardian sign this form.

ANNUAL LOW INCOME LEVEL

(Effective January 11, 2024 until further notice)

Family Size

Taxable Income (Line 15 - Tax Form 1040)

1

$22,590

2

$30,660

3

$38,730

4

$46,800

5

$54,870

6

$62,940

7

$71,010

8

$79,080

Add $8,070 for each additional family member

14. According to the chart above, my family's taxable income (Line 15 - Tax Form 1040) is considered low-income. *
Parent Signature (for income verification, only needed if student is 24 years old or younger)
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.