TROY Rides Application

Troy Ride

* = required fields

Student Contact Information

Emergency Contact Information

Address(es) for Lyft Transporation

Note: To have address on file, students must provide proof of residency, employment, and clinical.
For example, proof of residency, work schedule, or class schedule.

Enter work address information, if applicable

Enter clinical address information, if applicable

Student Demographic Information

Self-identification is important, and we understand that we each have our own understanding of the words used to describe our own experiences. So that we can best honor your identity and experiences, please  select (as many as you want) from the list below.

Additional Information

Student Verification

By signing this application, I attest that all the information on this application is true and accurate. I authorize the release and disclosure of official school records to Student Services; understanding that the information in these records will be used only to assess need for program services, including monitoring program progress, evaluate the effectiveness of Troy Ride, and fulfill program reporting requirements. I also allow Student Services and Triton College to use my image for program promotional purposes.

Captcha is temporarily disabled.

An error has occurred while getting captcha image