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Illinois College TRiO Program Application

IC Trio ProgramThank you for your interest in Illinois College's TRiO Student Support Services Program. Please visit our home page for more information about the program. 
To apply, fill out and then 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 online application form: link to downloadable application.
If you have any question about filling out the application or about the Illinois College TRiO program, contact us at 217-245-3575 or trio@mail.ic.edu.

Full Name (include first, middle, and last 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 DivorcedWidowed
Are you Hispanic/Latino?
YesNo
Please select one or more from the following groups below:
American Indian/Alaska NativeBlack/African AmericanWhite/CaucasianAsian
Native Hawaiian/Other Pacific Islander
Are you a U.S. Citizen or permanent resident?
YesNo
Does your mother/parent/guardian have a 4 year college degree?
YesNo I don't know
Does your father/parent/guardian have a 4 year college degree?
YesNo 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?
YesNo I don't know
Are you receiving Financial Aid?
YesNo I don't know
If you are not receiving Financial Aid, have you applied?
YesNo I don't know
Are you Pell Grant eligible?
YesNo I don't know
Do you have a documented disability?
YesNo I don't know
Did you have an IEP or 504 plan in high school?
YesNo I don't know
If you have a disability, have you contacted the Disability Services Coordinator?
YesNo I don't know
Signature (initials will serve as your temporary digital signature):
Date:

    
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