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Welcome to the LCSC TRiO Academic 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, located in Reid Centennial Hall on the main LCSC campus, Room 203. You will receive a response with further information.

First Name Last Name Telephone Number Email Address
 
Address City State Zip Code
Are you a U.S. Citizen? Size of family

*Family Taxable Income

(income levels as of 2/10/06)

Do you plan to graduate with a 4 year degree?

1 $14,700
2 $19,800
Are you a "first generation" student? (neither of your parents has a bachelor's degree) 3 $24,900
4 $30,000
Do you qualify as financially disadvantaged? * (see table at right) 5 $35,100
6 $40,200
Do you have a documented physical or learning disability? 7 $45,300
8 $50,400

 

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