TRIO SSS Westminster Campus

Thank you for your interest in the FRCC Westminster Campus (FRCC WC) TRIO Student Support Services program!

TRIStudent Support Services is a federally funded TRIO Program that assists students in graduating from college. A student is eligible to participate in a Student Support Services project if the student meets all of the following requirements:

(1) Is a citizen or national of the United States or meets the residency requirements for Federal student financial assistance.

(2) Is enrolled at the grantee institution or accepted for enrollment in the next academic term at that institution. Eligible students must be working towards completion of a certificate and/or their first associate's degree and/or would like to transfer to a four-year school to earn a bachelor’s degree.

(3) Has a need for academic support, as determined by the grantee, in order to pursue successfully a postsecondary educational program.

(4) Is—

    (a) A low-income individual (these are the federal low-income levels for TRIO programs);

    (b) A first generation college student; or

    (c) An individual with disabilities. 

In order to be considered for the FRCC WC TRIO program, you must be a FRCC Westminster or Brighton Campus student and complete this application as thoroughly as possible. You will need a copy of your personal (if you are an independent student) or your parents' (if you are a dependent student) signed, most recent Federal tax form 1040EZ and proof of residency if you are not a U.S. citizen. All information provided will remain confidential. You cannot save and restart this application.

If you have any questions, please call our office at (303) 404-5179 or email 

Personal Information:
FRCC Student Number: *
Which FRCC campus do you attend? *
First Name: *
Middle Name
Last Name: *
Preferred Name:
Date of Birth: *
Gender *
My preferred pronouns are: *
Cell Phone Number: *
Check this box if you do NOT want to receive texts
FRCC Student Email ( *
Address: *
Address 2:
City: *
State: *
ZIP Code: *
Preferred Contact Method
Are you a legal resident of Colorado? Check if yes
Marital Status
Are you Hispanic? *
Are you American Indian or Alaskan Native? *
Are you Asian? *
Are you Black or African American? *
Are you White? *
Are you Hawaiian or other Native to Pacific Island? *

Educational Information:
Did you graduate high school? *
Are you in high school taking college classes (concurrent enrollment/ PTECH): *
Are you currently enrolled in an ASCENT Program? *
Have you attended other colleges/universities? *
Please list any previous colleges or universities:
Have you earned an Associate's degree (2-year degree)? *
Have you earned a Bachelor's degree (4-year degree)? *
Have you been out of school for more than 5 years? *
Student status: *
When did/will you start at FRCC? *
How many credits have you completed and/or transferred in? *
How many credits are you currently enrolled in?
What is your goal at FRCC? *
In which FRCC academic program will you earn your degree or certificate? *
Current GPA (enter 999 if you are a new student):
Academic Standing *
I plan to transfer to...

Eligibility & Verification:
Are you a U.S. Citizen or Permanent Resident? *
If you marked other, please explain:
If not US Citizen, please upload INS documentation
What is your parents' highest educational level? *

What is your dependency status for tax purposes? A "Dependent Student" is someone who is claimed on parent's income tax return. An "Independent Student" is someone who is not claimed on parent’s income tax return AND meets one of the following criteria: A﴿ veteran of the U.S. Armed Forces, B﴿ Have legal dependents, C﴿ Married, D﴿ Both parents deceased or an orphan or ward of the court, E﴿ Be at least age twenty‐four

Dependency status? *

Family: A family is a group of two or more persons related by birth, marriage, or adoption who live together; all such related persons are considered as members of one family. For instance, if an older married couple, their daughter and her husband and two children, and the older couple's nephew all lived in the same house or apartment; they would all be considered members of a single family.

A Family’s total TAXABLE income can be found on federal income tax forms. It is the income after deductions are taken, NOT adjusted gross income. It can be found on your most recent Federal tax form1040EZ Line 6, 1040A Line 27, or 1040 Line 43.

If you don't have access to tax forms right now, give us your best estimate. The information can be verified upon acceptance to the program.

What is your family's taxable income for the most recent tax year? (enter dollar amount) *
How many people in your family (including yourself)? *
Upload your most recent Federal Income Tax
Do you have a documented disability? *
What is your financial aid status? *

Your Interest in TRIO

Have you participated in a TRIO program at another school? *
If yes, what TRIO program and where did you participate?

ACADEMIC SUPPORT: Please check all that may be of interest to you or that you need assistance with. (Check all that apply.) 

Study Skills
ACADEMIC & TRANSFER SUPPORT: Please check all that may be of interest to you or that you need assistance with. (Check all that apply.) 
Academic planning
Course selection assistance
Program of study exploration
Transfer information & assistance
Transfer plan development
FINANCIAL AID SUPPORT: Please check all that may be of interest to you or that you need assistance with. (Check all that apply.) 
FAFSA information & application assistance
Scholarship information & application assistance
Transfer award letter
Understanding financial aid process and policies
FINANCIAL LITERACY: Please check all that may be of interest to you or that you need assistance with. (Check all that apply.) 
Paying for College
How to manage credit cards
Savings and debt information
CAREER SUPPORT: Please check all that may be of interest to you or that you need assistance with. (Check all that apply.) 
Career and interest assessment
Resume & cover letter building
Where do you hope to be in 5‐10 years? What obstacles may create barriers for you?
Please explain: *
Please tell us a little about yourself and if there are any unique circumstances ﴾family, job, IEP, etc.﴿ that you would like to share with us so that we can help identify areas to support you.
Please explain: *
How did you hear about the TRIO program at FRCC? *

Sign and Submit:

I understand and accept that, if I am accepted into the TRIO Student Support Services program, I will participate in services (three coaching sessions, two workshops and one peer mentor session per semester). I understand that these services will help me achieve my academic, graduation, and careers goals.

I understand that by electronically signing this document I acknowledge, agree, and attest that the information provided to the TRIO SSS Program by me is true and correct to the best of my knowledge and I am freely intending to create and adopt this signature as my own legal binding electronic signature that carries the same legal effective and enforceability as my handwritten signature.

Applicant Signature *
Please select a signature verification type.