Student Support Services 2023-2024 Application
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Student Information
SSS is a federal funded program, the following personal data questions are asked for statistical purposes. None of this information will be used for determining your eligibility to participate in the program.

To be eligible for the TRiO Student Support Services (SSS) program, an applicant must be a citizen or national of the United States, be enrolled for six or more credit hours as a postsecondary education student, have academic need, and meet at least one (1) of the following criteria:

receive need-based financial aid to attend Camp Community College (CCC); have a physical or learning disability; or be a first-generation college student (neither parent graduated from a four-year college or university).

The last date to apply each semester is as follows: Fall – October 31, 2023 and Spring – February 28, 2024

All information is confidential and used for reporting purposes only. Camp Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs or activities.
Last Name *
First Name
 *
Middle
Last 4 digits of your Camp Student ID No. *
Current Date *
MM
/
DD
/
YYYY
Mailing Address *
City *
State *
Zip Code *
Telephone Number *
Camp Email
Camp email is your user name @email.vccs.edu
Alternate Email
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Marital Status *
Do you have dependents *
If yes, how many?
Are you a veteran? *
Ethnicity *
Do you currently receive any of the following benefits
Enrollment Information *
Are you *
What is your Program of Study
 *
High School grade point average (GPA), if known *
College grade point average (GPA), if known
Did you complete any college courses while in high school *
Have you received your first associate’s degree? *
If yes, date and college
Have you received your first bachelor’s degree? *
If yes, date and college
Prior participation in TRiO *
If yes, where was the program located?
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