Submit Your Application

Thank you for your interest in our 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 e-mail us.

General Information:

First Name: *

Middle Name:

Last Name: *

Date of Birth: *

Gender *

Ethnicity

Please select "Yes" for each racial/ethnic group that describes you.

Do you identify as Asian? *

Do you identify as Black? *

Do you identify as Native American/Alaskan Native? *

Do you identiy as Native Hawaiian/Pacific Islander? *

Do you identify as White? *

Do you consider yourself to be Hispanic/Latino/Latina/LatinX? *

Address: *

Address 2:

City: *

State: *

Zip Code: *

Email Address: *

Cell Phone Number: *

Describe your primary reason for applying (please note any needs for academic support you currently have: *

What is your marital status? *

Do you have children? *

What is your citizenship status? *

Are you a veteran? *

Are you an active military member or reservist? *

Academic Info:

Are you or will you be a first-generation college student? *

Are you registered with UMBC Office of Student Disability Services? *

Are you currently enrolled in classes at UMBC? *

Current Grade Level (by completed credits) *

How many credits are you taking? *

What is your college major? *

How's your academic standing? *

Cumulative GPA (N/A if first semester in first year) *

Which best describes your planned living situation while enrolled at UMBC during 2025-2026? *

What was the name of the high school that you last attended? *

Are you a transfer student? *

Have you previously participated in any of the following TRIO Programs? *

Family Information:

Highest Education level of Parent *

How many people in your household at home? *

Family Income Range: *

2024 IRS 1040

Have you completed a Free Application for Student Aid (FAFSA)? *

Have you been awarded financial aid at UMBC? (grants, loans, etc.) *

Did you or your parent/guardian file a federal income tax return for 2024? *

Do you file your taxes as a dependent or an independent? *

Program Commitment:

I am willing to make the commitment to participate in the Student Support Services/TRIO Program. *

I understand that my academic success will be monitored by SSS. *

I give the program staff permission to access my records and contact University representatives *

I give permission to use my photograph on publications, the SSS webpage, and social media *

How did you hear about the Student Support Services/TRIO program? *

Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.

If you are a dependent for financial aid purposes, and you do not submit a signed IRS 1040 from your parent/guardian, additional information may be required.

Sign and Submit:

Applicant Signature *

Please select a signature verification type.