WCCC TRIO Student Application
Thank you for your interest in TRIO Student Support Services at WCCC! Please submit this short application to apply, and we will follow up with you shortly after we receive it.  

Please answer all sections.  TRIO is a federally funded program. As a federally funded program, TRIO is required to collect information to determine your eligibility to participate in the TRIO program.


Questions?  Please contact us at trio@wccc.me.edu  
First and Last Name *
Preferred Email Address *
Phone Number *
Best Way to Contact You: *
Date of Birth *
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Gender *
Ethnicity/Race (select all that apply): *
Required
What is your citizenship? *
Have you already completed a college degree? *
Do either of your parents/guardians have a bachelor degree (a 4-year degree)? *
With which parent did you primarily live? *
Do you have a documented disability? (Physical/Learning/Emotional) *
Did you submit a FAFSA for the academic year in which you are applying? *
Do you plan to transfer to a 4-year college after graduation from WCCC? *

OPTIONAL:

I hereby consent to the use by WCCC Student Support Services photograph(s) of me in any publications, website, advertisement, report or other material promoting the WCCC SSS Program.  I understand that this consent is optional.  I hereby waive any rights to inspect or approve such photograph(s), and I release WCCC TRiO SSS, the College, and the MCCS for any and all claims arising from the use of the photographs.

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Type your name here to certify that all of the information provided on this form is true and complete to the best of your knowledge. *
Please provide today's date. *
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