TRIO SSS Student Interest Form

TRIO SSS Student Interest Form

* = required

Please provide your updated contact information below so that we may respond to you interest.

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* First Name:

*Last Name

Colleague ID

*Email

Cell/Home/Other Phone

*Best Day/Time to Contact (Select only one) Morning - 8:30am - 11:30am Afternoon - 12:00pm - 3:30pm Evening - 4:00pm - 5:00pm

*Residency (please select one): US Citizen Permanent Resident

Previous TRIO Participant? (optional) -- Select an option -- Yes No

*Are you currently enrolled at Triton? -- Select an option -- Yes No

Chosen Pronouns (optional) She/Her/Hers He/Him/His They/Them/Theirs Ze/Zie/Hir

Check all that apply: -- Select options -- I don't know which majors would be a good fit for me I don't know which careers would be a good fit for me High school did not prepare me for college I need to develop my writing skills I need to develop my math skills I achieved a GED I have been out of school for more than five years English as a Second Language Learner I need help to transfer Need for academic support (Low GPA/Failing Grades) Other

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