TRIO ETS Application
(Aplicación en Español)

Last Name *

First Name *

Middle Name

Preferred Name

Student Pronouns

Address *

Zip Code *

Home Phone (xxx-xxx-xxxx) *

Cell Phone (xxx-xxx-xxxx) *

Educational Information

Current School *

If you chose Other, please list the name of your school:

Grade (please use drop down menu to select one) *

Expected Graduation Year *

Student ID *

Demographic Information

Date of Birth *

Please type todays date in xx/xx/xxxx format. *

Are you Hispanic or Latino? *

Ethnicity (select all that apply) *

Gender *

Eligibility Information

Student Information- Please answer the following questions as the student.

Please select the citizenship status of the student applying. This information will not be shared with anyone. It is only used for eligibility purposed. See below for a guide:

Naturalized Citizen: US citizen who applied for citizenship after birth; Naturalization is the legal process by which a non-citizen voluntarily acquires citizenship or nationality of another country.

Non-Citizen: Undocumented

Permanent Resident: Permanent Residents are non-citizens of the United States who are living in the U.S. permanently under legally recognized and recorded permanent residence as an immigrant. Permanent Residents are also known as “Green Card holders.”

US Citizen: U.S. citizenship is usually acquired by birth when a child is born in the territory of the United States. In addition to U.S. states, this includes the District of Columbia, Guam, Puerto Rico, the Northern Mariana Islands and the U.S. Virgin Islands.

Citizenship (of applicant) *

First-Generation College Student Eligibility- Has one of your parents that you live with received/earned a baccalaureate degree? If they have some college but have not earned a baccalaureate degree, please answer "neither". *

Marital Status (of applicant) *

Veteran Status (of applicant) *

Disability Status (of applicant) *

Do you have children or other dependants (other than a spouse) who receive more than half of their support from you? *

Please select one to represent which parent you reside with and receive support from. *

Are you an orphan, in foster care, or ward of the court? *

Are you an emancipated minor or do you have a court-appointed legal guardian? *

Are you less than 18 years of age and have no parent or guardian? *

Are you homeless (i.e., you lack a fixed, regular, & adequate nighttime residence) or are at risk of becoming homeless? *

Family size (Including you) *

Please read how to answer the following financial questions-

If the applicant is a dependent on taxes (does not pay more than 50% of their cost of living), answer as a household.

If the applicant is an independent on taxes (pays more than 50% of their cost of living), answer as self.

Annual Taxable (Not Total) Income *

Income Source

Parent/Guardian Contact Information

Required- Primary Parent/Guardian Information

Relationship

First Name

Last Name

Cell Phone

Education Level

Optional- Secondary Parent/Guardian Information