Academics

Illinois College TRIO Program Application

Thank you for your interest in the Illinois College TRIO Student Support Services Program. Please visit our home page for more information.
 
To apply, please fill out and submit the short online form below. After you submit your application, you will be directed to a new page informing you of your application status. You can also apply by downloading an application form.
 
If you have any questions or to submit your application, contact us at:
 
Center for Academic Excellence
Schewe Library, 3rd Floor
217-245-3575


Online Application


Full Name (include first, middle, and last name):
Preferred Name:
IC Student ID #:
Date of Birth:
Gender:
Home or Local Address (street address, city, state, and zip code):
Home or Local Address continued (if necessary):
Email Address:
Phone:
Marital Status:
Single
Married
Divorced
Widowed
Are you Hispanic/Latino?
Yes
No
Please select one or more from the following groups below:
American Indian/Alaska Native
Black/African American
White/Caucasian
Asian
Native Hawaiian/Other Pacific Islander
Are you a U.S. Citizen or permanent resident?
Yes
No
Does your mother/parent/guardian have a 4 year college degree?
Yes
No
I don't know
Does your father/parent/guardian have a 4 year college degree?
Yes
No
I don't know
If you did not live with a parent or guardian while attending high school, did the person you lived with have a 4 year college degree?
Yes
No
I don't know
Are you receiving Financial Aid?
Yes
No
I don't know
If you are not receiving Financial Aid, have you applied?
Yes
No
I don't know
Are you Pell Grant eligible?
Yes
No
I don't know
Do you have a documented disability?
Yes
No
I don't know
Did you have an IEP or 504 plan in high school?
Yes
No
I don't know
If you have a disability, have you contacted the Disability Services Coordinator?
Yes
No
I don't know
Signature (initials will serve as your temporary digital signature):
Date:
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