Student Support Services

Student Support Services - Online Application

If you have any questions or need assistance in completing this application please contact us by phone: 405-744-5335, email: trio-sss@okstate.edu, or in person: 004 Scott Hall.

If you see this don't fill out this input box.

Applying for Admission into Program*

Student ID Number (please include A before ID number)*

Last Name*

First Name*

Middle Name

Permanent Address

Address Line 1*

Address Line 2

City*

State*

Zip Code*

Local Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone Number

Cell Phone Number

Email Address*

Best Method of Contact*

Date of Birth*

Race/Ethnicity (select all that apply)*

American Indian/Alaskan Native

Native Hawaiian/Pacific Islander

Black/African American

Hispanic/Latino

Asian

White

Gender*

Other

Citizenship*

Are you a veteran? *

Do you have a documented physical and/or learning disability? *

Are you registered with the Office of Student Disability at OSU?*

Were you admitted to OSU under provisional/alternative admission?*

Have you ever participated in English as a Second Language (ESL) classes?*

Have you ever participated in the NOC-OSU Gateway Program? *

Have you ever participated in these TRIO programs?

Upward Bound

Talent Search

Educational Opportunity Center

GEAR Up

Student Support Services

Ronald E. McNair

If so, where?

Please answer the following questions to the best of your ability.

How confident are you that your high school curriculum has prepared you for college?*

How confident are you that you are academically prepared for college-level coursework?*

How confident are you in your current selected major that it is an area in which you will find enjoyment and have success?*

What are your plans for after you complete a Bachelor’s degree?*

List any other strengths you perceive to have:

List any other weaknesses you perceive to have:

On a scale from 1 to 7, please rate how interested you are in are in using the following selection of services offered by SSS.

1 = extremely uninterested

2 = uninterested

3 = somewhat uninterested

4 = neutral

5 = somewhat interested

6 = interested

7 = extremely interested

Academic Advising*

SSS Computer Lab/Study Lounge*

FAFSA/Scholarship Search/Application Assistance*

Graduate/Professional School Search Assistance/Preparation *

Grant-Aid Scholarship*

Tutoring/Study Skills Help*

Career Exploration*

Monthly Workshops *

Mentorship*

Financial Literacy Education*

Personal Counseling*

How strong is your desire to join the SSS program?*

In 3-5 sentences, please explain your reasons for wanting to join and what you hope to gain.*Minimum of 275 characters.

To be considered an active participant, SSS requires its students to attend regular advising meetings, mandatory workshops, our annual Fall Kickoff, and to engage in community service. Given these expectations and on the following scale, how strongly do you believe you would be an active participant?*

In 3-5 sentences, please explain why you feel you should be selected for participation in the SSS program.*Minimum of 275 characters

Emergency Contact

Full Name*

Relationship*

Phone Number*

Has your mother/guardian earned a four-year degree?*

If yes, did you regularly reside and receive support from this parent/guardian?

Has your father/guardian earned a four-year degree?*

If yes, did you regularly reside and receive support from this parent/guardian?

Dependency Status (select all that apply)

Both Parents are Deceased

Have Dependent Children

24 years of age or older

Armed Service Veteran

Ward of the Court

Married

If you checked NONE of the above, you are considered a Dependent student and must submit your parent's or guardian's Federal Income information.
If you checked at least ONE of the above, you are considered an Independent student and must submit your own Federal Income information.

Please submit a SIGNED copy of the most RECENT Federal Income Tax form to our office as soon as possible. Photos may be taken by cell phone and submitted via email as well.

Email: trio-sss@okstate.edu

Mail: Student Support Services

422 Scott Hall

Stillwater, OK 74078

If you or your parent/guardian(s) did not file taxes, please contact our office at 405-744-5335.

Additionally, we ask that you complete the Traitify Assessment. We will need confirmation of your completion of this activity before your application can be completed. A link to the assessment will appear after submitting the application and an e-mail wil be sent to your account.

***Important Notice: Your application is incomplete until we receive a signed copy of the Federal Income TAX Form and confirmation of completing the Traitify Assessment***

By submitting this application:

I certify the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this application may result in denial of admission to the Student Support Services Program.
I fully understand that as part of my involvement in SSS, I must abide by the obligations and conditions set forth by the participant contract. (Applicants will have the opportunity upon acceptance into the program to accept or reject the terms and conditions of participation in the program.)
I authorize the Student Support Services program at Oklahoma State University to obtain, copy, review, and discuss records including:

High School Transcript	Standardized Test Scores	Final Grades and Transcripts
College Transcripts	Course Registration	Disability Documentation
Financial Aid Records	Academic Progress	Enrollment Information

I allow the Student Support Services program to take and use my photograph in marketing/recruitment materials, social media, and/or any appropriate manner.
The federal government requires that TRIO-SSS have on file documentation of taxable income, such as federal tax form, for all students admitted to the TRIO-SSS program; therefore, I will provide all applicable signed documentation of income.
Should any of this information I have given change prior to my acceptance in the program, I shall immediately notify the Director of the Student Support Services program.

You must type your name and will be required to sign the document during an intake interview.

Type Full Legal Name *

Date*

The Oklahoma State University Student Support Services Program will treat all applicants equally, regardless of race, color, national origin, gender, sexual orientation, religion, or physical disability. Oklahoma State University, in compliance with Titles VI and VII of the Civil Rights Act of 1964, Executive Order 11246 as amended, Title IX of the Education Amendments of 1972 (Higher Education Act), American with Disabilities Act of 1990, and other federal laws and regulations does not discriminate on the basis of race, color, national origin, gender, age, religion, handicap, or status as a veteran, in any of its policies, practices, or procedures. This provision includes, but not limited to admission, employment, financial aid and services. Student Support Services is 100% federally funded by the U. S. Department of Education in the amount of $232,265 annually.

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Student Support Services - Online Application