Thank you for your interest in our TRIO Student Support Services program!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at (802) 468-1347.

There are many services within our TRIO program, in which are you most interested?
___________________________________________________________________________
Student Information:
First Name: *
Middle Initial:
Last Name: *
Preferred Name
Date of Birth: *
Home Phone
Cell Phone Number:
May we text you periodically with reminders and timely information to support your success?
Email Address
Castleton University ID #

The Castleton Academic Support Center is funded in part by a TRIO grant from the U.S. Department of Education. This grant enables Castleton to provide additional academic support services to students who are first generation college students, low-income students, or students with documented disabilities. Your answers to the questions below will assist us in determining your eligibility.

Family Information:
With whom do you live? (or, if independent, whom did you live with at age18?)
Are you currently in foster care or aging out of the foster care system?
Mother Educational Level:
Father Educational Level:
Parent Email Address (leave blank if not available)
Have you applied for Financial Aid?
Did you receive a Pell Grant?

Academic Info:
Do you have a documented physical or learning disability?
Do you have a college degree?
What kind and from what college/university?
When do you anticipate graduating from college?
What is your major or career goal?
Please describe at least three areas where you are strong academically:
What is the largest academic obstacle you are currently facing? *
Some students may be eligible for additional programs and services, including TRIO grants of $1,000 - $2,000 and other scholarships.  If you would like to be notified about our TRIO grants, be sure to go back and check the box to allow us to text you!

Sign and Submit:

Confidentiality and Student Signature:

Important! The Academic Support Center staff handles student information confidentially to assist in verifying your TRIO eligibility to the Federal Government and/or providing you with academic/personal services. Your signature below verifies your agreement with the three statements below.

1. I authorize the Academic Support Center to obtain disability data, obtain financial aid documents, verify citizenship and verify my academic standing (when necessary) to either provide or initiate Student Support Services for me.

2. I give the Academic Support Center permission to request feedback from my professors and I agree to meet with the Academic Support staff if my professor(s) indicate that my performance is unsatisfactory.

3. I certify that the information I have provided on this application is correct to the best of my knowledge. I understand that if any of this information is found to be false, my eligibility for Student Support Services will be jeopardized.

Applicant Signature *
Please select a signature verification type.