TRIO SSS Application 2023-2024

Last Name

First Name

Email Address

Birthdate

NKU Student ID Number (9-digits)

NKU User ID (starts with your last name)

Have you participated in other TRIO Programs or Gear Up? Select all that apply and list what school(s), if applicable.

Educational Talent Search

Upward Bound

Student Support Services

Educational Support Services

Gear Up

Did someone refer you to TRIO Student Support Services?

If yes, by whom?

First-Generation Status of Student

Do either of your parents/guardians have a bachelor's degree?

Disability Status of Student

Do you have a federally recognized disability?

If yes, please explain:

Individual Needs Assessment

Check all that apply to you:

Academics:

Check all that apply to you:

Academics:

Unsure high school prepared me for college.

Achieved GED.

Concerned about my math or writing skills.

Unaware of my learning style

Inexperienced with study strategies that work for me.

Not permitted to declare a major due to SAT/ACT scores.

It's been more than 5 years since I have been in school.

Would benefit from tutoring to be successful in coursework.

Major/Career:

Uncertain about my future career.

Don't know which majors would be a good fit for me.

Have a lot of interests but can't seem to pick one major.

Decided about a major, but not sure I have the preparation to succeed in it.

Inexperienced in selecting appropriate courses that would lead to graduation.

Personal:

Plan to work over 20 hours a week and go to school full time.

Significant family responsibilities (children, siblings, parents).

Entering college as a non-traditional age student.

Undecided about whether college is for me.

English is a second language for me.

Need help in managing significant financial responsibilities.

Student Support Services Admissions Contract

If accepted into Student Support Services, I will be eligible for the following benefits:

SSS Advisor who serves as my academic, career, and resource consultant.
Peer Mentors who provide guidance, encouragement, and support.
Super Priority Registration which allows me to register early for classes.
Individualized Plans of Support to guide my college experience.
Enrollment in the SSS First-Year Student Orientation Course (UNV 101).
Leadership opportunities through SSS Ambassadors and Teaching Assistants.
Scholarship/Grant Awards.

If accepted into Student Support Services, I agree to the following:

Attend the SSS New Student Orientation.
Meet with my SSS Advisor at least four times per semester.
Enroll in the SSS First-Year Student Orientation Course (UNV 101).
Commit to working with my SSS Advisor in developing Student Success Plans.
Submit my FAFSA by October 1 priority deadline and apply for NKU Continuing Scholarships each year.
Review my midterm grades each semester and discuss my progress with my SSS Advisor.
Read email from SSS to stay informed of program activities, resources, and deadlines.
Use the services of SSS to help me be a successful college student.

If accepted into Student Support Services, I will be eligible for the following benefits:

SSS Advisor who serves as my academic, career, and resource consultant.
Peer Mentors who provide guidance, encouragement, and support.
Super Priority Registration which allows me to register early for classes.
Individualized Plans of Support to guide my college experience.
Enrollment in the SSS First-Year Student Orientation Course (UNV 101).
Leadership opportunities through SSS Ambassadors and Teaching Assistants.
Scholarship/Grant Awards.

If accepted into Student Support Services, I agree to the following:

Attend the SSS New Student Orientation.
Meet with my SSS Advisor at least four times per semester.
Enroll in the SSS First-Year Student Orientation Course (UNV 101).
Commit to working with my SSS Advisor in developing Student Success Plans.
Submit my FAFSA by October 1 priority deadline and apply for NKU Continuing Scholarships each year.
Review my midterm grades each semester and discuss my progress with my SSS Advisor.
Read email from SSS to stay informed of program activities, resources, and deadlines.
Use the services of SSS to help me be a successful college student.

By checking here, I agree to the terms and conditions in the Student Support Services Admissions Contract.

Student Support Services Consent to Release

I understand that Student Support Services needs access to my financial, personal, academic, and disability related information in order to provide the best possible support for me at Northern Kentucky University. Therefore, I agree to release such information to the Student Support Services staff members as long as I am considered an active Student Support Services participant or a student at Northern Kentucky University. I further understand that all released material will remain confidential. Academic information and disability verification, however, may be shared with faculty, University departments, the Office for Student Accessibility, and appropriate representatives of the U.S. Department of Education only as necessary.

By checking here, I certify that I have read and understood this Consent to Release and that I am capable of giving such consent to do so voluntarily.

I agree to allow my name and/or picture to be printed in any SSS newsletter, website, publication, or display in recognition of academic success, involvement, leadership or graduation.

I agree for SSS to use my name and/or picture in the ways listed.

I disagree. Please do not use my name/picture in the ways listed.

I agree to receive text updates from TRIO SSS. I can expect monthly messages with reminders about important deadlines, student resources, and upcoming events.

Yes, I agree to receive text reminders from TRO SSS

No, I do not agree to receive text reminders from TRO SSS

Application Validation

By initialing here, I agree that all of the information provided in this application is true to the best of my knowledge.