TRIO STUDENT SUPPORT SERVICES

2025-2026 APPLICATION

The TRIO Student Support Services program is a federally funded program and collects demographic information for statistical purposes only. TRIO SSS is committed to serving all persons seeking services, and we encourage applications from students of diverse backgrounds. In accordance with the University of Pittsburgh’s nondiscrimination policy, no distinction is made upon the basis of race, color, religion, national origin, ancestry, sex, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or status as a veteran.  For the full policy statement, go to hr.pitt.edu/diversity. Demographic data will not be used for determining your eligibility to participate in the 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 email Craig Engstrom, TRIO SSS Administrative Assistant at CEE55@pitt.edu
Last Name *
First Name *
Middle Name *
Date of Birth *
Gender *
Cell Phone Number *
Pitt Email Address
Permanent Address Street *
Permanent Address City *
Permanent Address State *
Permanent Address Zip Code *
Are you of Hispanic, Latino, or Spanish origin? If YES, you MUST also identify a "Race" Below *
Which race or ethnicity best describes you? (Please choose only one.)
American, Indian, or Alaskan Native
Asian
Black or African American
Caucasian or White
Native Hawaiian or other Pacific Islander
English is My Second Language?
If YES, what is your FIRST language?
Are you a U.S. Citizen? *
If NO, are you a Permanent Resident?
Are You a Veteran?

TRIO SSS Eligibility Requirements

To be eligible for TRIO SSS, students must meet one or more of the following:

  • Be a first-generation college student (neither parent or guardian has completed a four-year college degree)
  • Meet federal income limit guidelines
  • Have a documented disability - documents will need to be filed at UPB

            Also, every applicant must be:

  • Enrolled at University of Pittsburgh at Bradford
  • Enrolled in a 4-year program (Bachelor's Degree) - *Associate Degree programs are NOT eligible.*
  • The participant must be progressing toward their 1st Bachelor's Degree at UPB. Applicant can not already hold a Bachelor's Degree at the time of completing the TRIO SSS application.
  • A U.S. Citizen or national of the United States or meets the residency requirements for Federal Student Financial Aid.
  • In need of academic support, as determined by UPB, in order to successfully pursue a post-secondary educational program.


First Generation Eligibility

Does Either Parent (biological or adoptive) have a Baccalaureate (4-year) Degree? (Parent 1 and Parent 2 are required to be answered for eligibility)

 
Parent 1: *
Parent 2: *
Prior to the age of 18, did you regularly reside and receive support from only one parent who did not have a baccalaureate degree? *
At any time since you turned 13, were you an orphan, in foster care, a dependent or ward of the court? *
Has it been decided by a court of your state of legal residence that you are an emancipated minor or that you are in legal guardianship? *
At any time prior to the age of 24, were you determined to be an unaccompanied youth who was homeless as determined by your high school or district homeless liaison or director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development? *

Disability Eligibility

(Registration with Disability Resources and Services will be Required)
Do you have a documented physical, medical, or psychological disability? *
If "yes", have you registered with Pitt-Bradford’s Disability Resource and Services? *

Income Eligibility

*This section must be completed for the application to be processed.*

(PARENT information is required for “dependent” students – i.e. if the student is less than 24 years old, not married, not emancipated, parental income is reported on FAFSA)

(PARENT information is NOT required for “independent” students—i.e. if student is 24 or older, married or emancipated, parental income is not reported on FAFSA)
The Student is Considered *

You MUST choose one (1) of the following scenarios:

#1 -  My Parents/Guardians or I filed a 2024 Tax Return
2024 household taxable income ( Form1040—line 15) *
How many people in your household were claimed for 2024 tax purposes *

#2 -  My Parents/Guardians or I DID NOT FILE a federal income tax return for 2024

Total 2024 Income *
#3 -  My Parents/Guardians or I Had NO Taxable Income for 2024
Agree or Disagree *
Any Prior Participation in a TRIO Program?
Name and Location of Program?

APPLICANT'S ACADEMIC INFORMATION

High School Education
High School Attended:
Year Graduated:
Did you attend a College in High School, Bridges, or Dual Enrollment Program?
Are you transferring to UPB? If yes, Name of Previous College.
Copy of transcript is attached to application.
TRIO SSS is to request transcript from UPB Enrollment Services
Have you previously received a Bachelor's Degree?

University of Pittsburgh at Bradford Educational Plans
UPB Student Status -Incoming or Current UPB Student
UPB Major
UPB Minor, if you have one.
Is your FAFSA submitted?
Enrollment Status:
Academic Level
Degree Plan at UPB
Future Degree Plans (after UPB)
Will You be Transferring from UPB before Graduating?
Employment Status (while attending UPB):
If you will be participating in UPB athletics, which sport will you be playing?
Career Goal

PERMISSIONS REQUESTED
Agree to allow my name and/or picture to be used in any TRIO SSS newsletter/publication/webpage etc,
Agree to allow the TRIO SSS staff to use my phone number to reach me, either by calling or texting.

SIGNATURE STATEMENT

The applicant and a parent/legal guardian of the applicant are required to sign the application, below. If student is documented as an independent, only the student needs to sign.  These signatures will support that all information above is accurate and truthful to their best knowledge. TRIO SSS eligibility requirements are set by the funding agency--US Department of Education.

**Application will not be processed without the appropriate  signature(s).
Parent E-Signature: *
Please select a signature verification type.
Applicant's E-Signature: *
Please select a signature verification type.