TRIO Student Application
Lincoln Land Community College
TRIO Student Support Services


Thank you for your interest in LLCC's TRIO Student Support Services program! 

TRIO Student Support Services (SSS) is a federally funded program committed to the success of students who are first-generation, have limited income, or are experiencing disabilities. Students will develop the necessary skills, knowledge, and attributes to graduate as skilled professionals, global citizens, and leaders committed to lifelong learning.


Please complete this application as thoroughly as possible. You cannot save and restart this form.  If you have any questions, please email our office at trio@llcc.edu or visit us in the lower level of Sangamon Hall.
General Information:
First Name *
Middle Name
Last Name *
Preferred Name
LLCC Student ID *
Date of Birth *
Gender
Preferred Pronouns
Address: Street/Apt *
Address: City *
Address: State *
Zip *
Phone Number:
Can we text this phone?
LLCC Email Address: *
What is the best way to reach you? List as many as apply. (Phone, Text, Email, Other)
Are you a US Citizen or Eligible Noncitizen? *
Ethnicity: Hispanic or Latino origin?
Race (List as many as apply): American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, White
Is English your first language? *
If no, what is your first language?
Academic Information:
Have you ever been in a TRIO SSS, Talent Search, UpwardBound, or EOC program? *
Are you a high school graduate? *
If no, did you receive a GED?
Program of study:
Have you been enrolled in any high school or college in the past 5 years? *
Is this your first college experience? *
If no, list the colleges you have attended and when:
Have you earned a college degree? *
If yes, type of degree:
WHAT ARE YOUR EDUCATIONAL PLANS?  TRIO Student Support Services is a federally funded program designed to increase graduation rates of its participants.
What are your educational plans? *
Additional Information:
Are you currently or have you previously been in foster care or a state ward?
Did you age out of the fostercare system?
Are you currently or have you previously been homeless?
Are you experiencing a disability? *
If yes, do you want information about setting up accommodations with our Accessibility Services office here at LLCC??
Does parent/guardian 1 have a bachelor's degree or higher *
Does parent/guardian 2 have a bachelor's degree or higher? *
TRIO SSS Program Services:
In a few lines, tell us why you are applying for the TRIO SSS Program. *
In a few lines, write about your educational and career goals and how the TRIO SSS program can help you to meet these goals. *
Sign and Submit:

Terms of Submission:
By submitting this application, you acknowledge that all of the information you have provided is true and accurate to the best of your knowledge.  You give permission for TRIO SSS staff to gather information from your student record to determine your eligibility.
Applicant Signature *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.