TRIO Student Support Services Program

TRIO Application Academic Year 25-26

  • Page 1
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TRIO student support services logo and Northeastern Junior College Monahan Learning Center logo.
PART 1: PERSONAL DATA
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

Description of student types:

  • Dependent Student: You are considered a Dependent Student if you were claimed on your parents' income tax return in 2024. 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
Size of family unit including Student in 2024 (Select one):
State of Residence in 2024 (Select one):
2024 Taxable Household Income (Taxable household income can be found on the federal income tax return, IRS Form 1040, line 15)
PART 9: AUTHORIZATION STATEMENT
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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 and Counselor
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
Cate Trenkle