TRIO SSS Referral

* fields are required

TRIO Student Support Services (SSS) is a college support and achievement program geared toward a certificate or degree-seeking students who are first in their family to attend college and interested in transferring to a 4-year university. We appreciate your referral. Our staff will contact the student to confirm eligibility and interest in the program.

Referrer's Information

Your First Name: *

Your Last Name: *

Your Affiliation with Tri-C: *

Your Email: *

How do you know the student you are referring?: *

Which campus does the student currently/primarily attend?: *

Student Information

Student Name: *

Student Snumber:

Phone number of student you are referring:

Does the student know you are referring them to the program?: *

How do you think the student will benefit from being a part of the TRIO SSS Program?: *

Any additional comments:

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