Student Support Services Application

Student Support Services is a federally funded TRiO program serving 190 students at The University of Virginia’s College at Wise. Its purpose is to provide academic support services to help eligible students stay in college and graduate. SSS also introduces students to the “college experience” and assists them in reaching their academic goals. The program is funded by the U.S. Department of Education in the amount of $352,531.

Eligible students are enrolled at UVA Wise and meet one or more of the following criteria: First generation college student, Limited or low-income, Physical or learning disability.

Your Information

Which academic year are you applying for?
Address
Citizenship
Gender
Race/ethnicity
Is English your first/native language?
Are you or were you ever in foster care?
Did you apply for financial aid?
Are you receiving Pell Grant?
Do you file income taxes?
Have you received financial literacy education and information?
Have you received career planning information?
Are you familiar with the college environment and available supports?
Have you received individual assistance in selecting classes?
Were you ever a member of:
Note: This does not register you with Disability Services

Family Information

Did either of your parents graduate from a four-year college or university?
Highest grade level completed by your father:
Highest grade level completed by your mother:
Are you considered a dependent student on your FAFSA? (If you are required to report parent income information then you are considered dependent.)
If you answered yes to this question, please answer the following questions based on your parents income tax information.  If you answered no to this question, please answer the following questions based on your income tax information.
Do your parents file income taxes?
If you filed a 1040 tax form look at line # 43 for your Taxable Income.
If you filed a 1040-A tax form look at line # 27 for your Taxable Income.
If you filed a 1040-EZ tax form look at line # 6 for your Taxable Income.
By submitting this form, I give permission for SSS Staff to both receive and release information of a confidential manner for use in educational planning. I also agree to meet with my TRIO Student Support Services advisor after classes begin to sign my documentation.
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