Thank you for your interest in the TRiO Student Support Services program at UCCS!  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 triosss@uccs.edu.
General Information:
UCCS Student ID Number: *
First Name: *
Middle Name:
Last Name: *
Date of Birth: *
Are you a U.S. Citizen or Permanent Resident? *
Address: *
Address 2:
City: *
State: *
Zip Code: *
Cell Phone Number:
Email Address: *
Academic Info:
What is your current year in college? *
Did you transfer to UCCS from another college/university? *
How many classes will you be taking next semester?
Current GPA (first year students enter 0.00): *
What is your academic standing? *
Major *
Which best describes your current academic skill level in Math and English *
Have you been out of school for 5 or more years? *
Are you currently enrolled in (or planning to take) courses you expect to be especially challenging? *
Which best describes your current educational and career goals? *
Describe any additional academic or personal challenges your are facing that might impact your success at UCCS. *
Were you referred to TRiO by a UCCS faculty or staff member? *
Program Eligibility:
Do either of your parents have a four-year college degree? *
Did you receive a Pell grant as part of your financial aid package (this can be found in your portal)? *
Do you have a registered disability with the Office of Disability Services at UCCS? *
Sign and Submit:
Applicant Signature *
Please select a signature verification type.
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.