TRIO Student Support Services Program

TRIO Application Academic Year 24-25

  • Page 1
  • Complete
TRIO student support services logo and Northeastern Junior College Monahan Learning Center logo.
Part 1: Personal Data
I want to attend Running Start August 11th-14th
I will be living in the residence hall.
Local (NJC) Address
Part 2: Race
Please select ALL that apply
Part 3: Citizenship
Part 4: Ethnic Origin
Part 5: Educational Information
Part 6: First Generation Verification
Who were you living with up to your 18th birthday?
Part 7: Need for Academic Services
Please check ALL the goals you may consider using for your educational support:
Part 8: Income Verification

Information message

All answers are confidential and reported as group data for program documentation purposes only. Please answer the following questions based on your 2023 Income Tax Information.

Status message

Please select whether you are a/an Dependent Student or Independent Student.

Description of student types:

  • Dependent Student: You are considered a Dependent Student if you were claimed on your parents' income tax return in 2023. All information below is to be completed based on your PARENTS'/Guardians' entire household and should be filled out by YOUR PARENTS.
  • Independent Student: You are considered to be an Independent Student if you meet any of the following criteria:
    • I will be 24 or older by December 31 of this year.
    • I have been an orphan, in foster care, or a ward of the court after age 13.
    • I have children who receive more than half their support from me.
    • I am married (or separated, but not divorced).
Check ALL that apply to you being an Independent Student

Information message

All information below is to be completed based on your entire household for 2023.
Size of family unit including Student in 2023 (Select one):
State of Residence in 2023 (Select one):
2023 Taxable Household Income (Taxable household income can be found on the federal income tax return, IRS Form 1040, line 15)
Part 9: Authorization Statement
Sign above
Sign above

Information message

This program was developed under a TRIO Student Support Services grant from the Department of Education (DOE). However, activities do not necessarily represent the policies of the DOE, and you should not assume endorsement by the Federal Government.

AY2024
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Staff

Melissa Bornhoft
Assistant Director - Monahan Learning Center
970-521-6670
melissa.bornhoft@njc.edu
Monahan Learning Center
Sterling
Melissa Bornhoft
Rochelle Lenox
Transition Specialist
970-521-6727
Rochelle.Lenox@njc.edu
Knowles Hall-120
Sterling
Rochelle Lenox
Catheryne Trenkle
Director-Academic Support Services
970-521-6619
catheryne.trenkle@njc.edu
Monahan Learning Center- 224
Sterling
Catheryne Trenkle