Thank you for your interest in the TRIO Program at Bay!  Please complete this application as thoroughly as possible.  It should only take a few minutes.  Once submitted, you will be contacted soon to schedule an intake appointment.

Contact Information
School ID *
First Name *
Last Name *
Email Address *
Preferred Pronouns
She/Her
He/Him
They/Them
Other
Cell Phone Number *
May we text you at this number? *

Academic Interests
Current Major *
Career Interests: *
Do you plan on transferring from Bay? *
If yes, what school(s) are you interested in trasnferring to?
Have either of your parents/guardians received a Bachelor's degree? *
What is your main reason for applying for TRIO-SSS?

Participant Agreement, Release of Information, & Affidavit of Truth Statement

 

I understand that applying to Bay College TRIO Student Support Services (SSS) does not guarantee acceptance into the program. I may be fully accepted, provisionally accepted, or denied based on the need for services, academic record, academic preparedness and progress, credit hours, financial aid status, and level of engagement.

Students on Financial Aid Warning, Approved Appeal, or on Academic Probation may be provisionally accepted until they are meeting Satisfactory Academic Progress.

I understand that if I do not meet the expectations and academic goals, I may be ineligible for the Bay College TRIO-SSS program.

I am committed to my education, academic goals, and completion of my certificate and/or degree. I need to be fully engaged and strive for classroom attendance and participation. I will meet the program expectations within my four years of eligibility, including meeting with a staff member at least 1 time per semester.

 

 

I hereby authorize the Bay College TRIO SSS program staff to gather information about my academic progress (instructor and staff communications, placement test scores, GPA, earned credits, transcripts, tutoring sessions, etc.) and financial aid status prior to acceptance and during the program including, but not limited to, transfer to a four-year institution. *

 

To the best of my knowledge, the information provided in this form, and any other supporting documentation, is true. I understand that this authorization is valid for the duration of my enrollment as well as five (5) years after I cease to be enrolled as a student. *

 


Signature

Today's Date: *
Signature: *
Please select a signature verification type.