4S Program Application

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The 4S Program, also known as Select Student Support Services (4S), is funded by the King-Chávez-Parks (KCP) Initiative of the State of Michigan. Joining 4S is FREE and will provide the support you need to be successful at EMU, including Success Coaching, tutoring, workshops, and Eagle Study Tables. Active participants are eligible for a dedicated scholarship!

We will review your application and share our decision as soon as possible following your submission.

For any questions, contact us at hsc@emich.edu.

EMU Student ID, ex: E01234567

Emich.edu email address *

First Name *

Last Name *

Preferred Name

Pronouns? e.g., she/her, he/him, she/they

Gender *

Male

Female

Non-Binary

Something else

Ethnicity *

American Indian/Alaskan Native

Asian

Black or African American

Native Hawaiian and Pacific Islander

Latinx

White

Mobile Phone Number *

Which of the following eligibility criteria do you meet? *

I received a Federal Pell Grant as part of my financial aid package

I received academic support in K-12 through an IEP or 504 plan

My high school GPA was below a 2.5

I have not yet completed my FAFSA and/or received my financial aid award

None of these

Required

Are you a citizen of the United States? *

Yes

Are you a resident of the State of Michigan? *

Yes

Which of the following best identifies your reason(s) for wanting to join the 4S Program?
*

Make new friends and establish professional relationships with faculty and staff

Maintain high academic performance with access to tutoring and coaching

Connect with a peer mentor who can help familiarize me with EMU and all of its resources

Learn more about additional scholarship opportunities and financial support

Help with registration and exploring a major

Develop and improve academic skills (time management, study skills, work-life balance, etc.)

Make a successful high school-to-college transition

Required

Acknowledgements:

Please read each statement below and sign to indicate that you understand each statement and give each permission.

I give permission for the EMU 4S Program staff to access information required for the purpose of verifying my eligibility and supporting me academically as a 4S Program participant

Office of Admissions
Financial Aid Services
Student Records and Registration Services
Faculty members regarding academic progress

By submitting this form, you are certifying that all of the information provided here is true and correct to the best of your knowledge.

I agree

Required

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