Thank you for your interest in CCA's TRIO Student Support Services program!  Please complete this application as thoroughly as possible. You cannot save and restart this application. The TRIO program serves a limited number of students each year and applying for the program does not guarantee acceptance. Applications are evaluated based on the number of available slots, individual academic need, motivation, and federal eligibility. To be eligible for this program you must meet the following: 1. Accepted for enrollment at CCA. 2. Have a need for academic support to aid in successful completion of courses at CCA. 3. Be considered low-income (according to the US Census Taxable Income levels) OR Be a first-generation college student (neither parent has a bachelor’s degree) OR Be an individual with a documented disability 4. Be eligible to receive federal financial aid based on citizenship status.  If you have any questions, please call our office at 303-361-7370 or email us at triosss.cca@ccaurora.edu 
General Information:
Student ID (S#): *
First Name: *
Middle Name:
Last Name: *
Address:
Address 2:
City:
State:
Zip Code:
Cell Phone Number:
Alternate Phone Number:
Email Address: *
Biographical Information
Date of Birth: *
Sex:
Ethnicity
Is English your first language? *
If "No" what is your first language?
Are you a US Citizen or Permanent Resident? *
Do you have a documented disability? *
If "Yes" is this information on file with CCA's Office of Disability & Equity?
If you would like to disclose your disability, please do so here. This voluntary information will be kept confidential and refusal to provide it will not subject the applicant to discrimination on the basis of handicap.
Academic Info:
Do you have a High School Diploma or GED? *
What credential are you currently working towards at CCA? *
Current GPA:
Have you attended a college other than CCA?
Do you plan to transfer to a 4-year university to obtain a Bachelor's Degree? *
Have you earned a college degree? *
Do either of your natural or adoptive parents have a 4-year university or bachelor's degree?

Family Income Information:

As a federally funded program, we are required to collect income information for all participants. Please answer the following question to the best of your ability. If you're unsure or unable to provide any of the information, we will follow up with you after you submit your application to help gather what’s needed.
Dependency: If you are under 23, you are considered dependent for financial aid purposes (unless you have a qualifying circumstance) *
Dependent students, please provide your PARENT or GAURDIANS' "taxable income" for the most recent tax year ( amount is found on line 15 of your 1040 tax return form).
Independent students, please provide your "taxable income" for the most recent tax year ( amount is found on line 15 of your 1040 tax return form).
Including yourself how many people are in your household?
Are you currently married and/or have any children?
Are you a veteran or active duty military person?
Are you, or have you ever been, homeless and/or in foster care?
If you qualify for a federal assistance program (such as Medicaid, SNAP, SSI, or Section 8), you have the option to submit documentation showing your eligibility instead of providing income information. To help us determine your eligibility, you may upload a document from a federal assistance program that includes your name and confirms your current eligibility. (Submitting this documentation is optional)
Other:
Describe your primary reason for applying:
How did you hear about the TRIO SSS program? *
Are you currently, or have you ever been, a participant in another TRIO program? *
Please tell us which TRIO services you plan to use (Check all that apply):
Transfer planning
College visit program
Academic development workshops
Exposure to Cultural Events
Financial Literacy Programming
Time management skills
Career planning
General study skills
One on one help
Tutoring in writing, math, and/or science
Financial aid/scholarship information
Academic planning
Sign and Submit:

Participant Agreement:

TRIO Participants must commit to the following to remain eligible for the program:

 

  • Attend the annual TRIO Family Kick Off and Conference in August of each year while attending CCA.
  • Register for classes with TRIO Staff (a hold is placed on TRIO student account preventing registration until you meet with your TRIO Academic Coach).
  • Complete the FAFSA applications with TRIO staff every year (usually available in October).
  • Meet with assigned TRIO academic coach a minimum of two (2) times each semester while enrolled at CCA. 
  • Attend at least two (2) CCA campus-wide workshops, events, or activities each semester. Completion of these can be done online or virtually as well. 
  • Attend tutoring sessions as necessary for growth and improvement of understanding.

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. Additionally, submission of this application provides consent for the TRIO program to enroll you in calls and text message notifications from the program, enrollment in our Desire to Learn (D2L) platform, and receiving electronic and paper notifications from the program.
Applicant Signature *
Please select a signature verification type.