Welcome
to the LCSC TRiO Academic Services (Student Support Services) Application Form
If you are interested in our
academic services, please fill in the requested information and select
the submit button when you are through, or print it out and bring
it in to the TRiO office (Reid Centennial Hall on the main
LCSC campus, Room 205). You will receive a response with further
information.
First Name
Last Name
Address
City
State
Zip Code
Telephone Number
Email Address
Are you a U.S.
Citizen?
Size of family
*Family Taxable
Income
(income levels as of 1/2012)
Do you plan to
graduate with a 4 year degree?
1
$16,755
2
$22,695
Are you a "first
generation" student? (neither of your parents has a
bachelor's degree)
3
$28,635
4
$34,575
Do you qualify as
financially disadvantaged? * (see table at right)
5
$40,515
6
$46,455
Do you have a
documented physical or learning disability?
