TRIO ACES Program Application

Citizenship Information

Citizenship *

As a federally granted program we are permitted to enroll and serve students who are either U.S. Citizens or U.S. permanent residents with a Form I-551, I-151, or I-551C (Permanent Resident Card, Resident Alien Card, or Alien Registration Receipt Card), also known as a green card. Are you a U.S. citizen or permanent resident?

Yes
No

Student Status

Student status, I am: *

Currently a high school student who will be enrolling at Boise State
Currently a community college student who will be transferring to Boise State
Currently enrolled in courses as a Boise State student
I have already earned a Bachelor’s degree

What is your current classification? *

Freshman (0-25 credits)
Sophomore (26-57 credits)
Junior (58-89 credits)
Senior (90+ credits)

Income Information

Please answer the following questions based on your latest tax information.

Family Size *

Family Taxable Income *

This information can be found on line 15 of the 1040 tax form

Applicant Information

Name *

Please enter your legal name as entered on your Boise State admission application or in your student record.

First Last

Preferred Name

If you have a preferred first name other than your legal name, enter here:

What are your pronouns?

he/him/his
she/her/hers
they/them/their

Boise State ID Number *

If you are a prospective student, check your acceptance letter from the Office of Admissions for your ID number.

Do you have a documented disability registered with the Educational Access Center (EAC) *

Yes
No
I don't have a disability

As part of the terms of our federally funded grant, TRIO programs serve students with documented disabilities. This could include physical disabilities and/or learning disabilities. This information will not be used or shared for any other purpose other than understanding your eligibility for TRIO ACES.

TRIO DSSS verifies disability eligibility through the EAC. Please complete the EAC Request for Services form here

Phone Number

Boise State Email Address *

Your email address will not be shared with other departments or outside organizations. The only purpose will be correspondence regarding your application.

What is your current major and emphasis at Boise State? *

Have you submitted a Free Application for Federal Student Aid (FAFSA) for the current academic year? *

Yes
No

TRIO uses Federal Financial aid information to partly determine your eligibility for services. Please complete the FAFSA here

Are you currently enrolled or participating in any of the following student programs? (choose all that apply)

TRIO Upward Bound
TRIO Educational Talent Search
HEP/CAMP
LSAMP
Boise State First Forward
Other TRIO program
Workforce Recruitment Program (WRP)

If you selected "other" above, please specify

What are your housing plans while enrolled at Boise State for the current academic year? *

Living on-campus
Living off-campus

How did you learn about the TRIO Academic Coaching and Educational Support Program? *

What is your first language? *

Please describe your academic and career goals *

How does your disability impact your learning and academic success? *

How can TRIO ACES best support your progress towards earning a degree? *

We all have social support systems, can you provide examples of what this support looks like for you? Do you currently have any challenges within your support system? *

What areas would you like to improve with the TRIO ACES program? *

Select up to 3 areas to improve.

What are your areas of concern? *

Select up to 3 areas of concern.

Program Release Statement

Submitting this form authorizes the Boise State University TRIO Academic Coaching & Educational Support Program to obtain necessary academic and personal information (such as demographic and contact information, transcripts, admission, enrollment, financial aid eligibility and awards, disability verification, and US residency status), for the purpose of determining eligibility, developing education plans, record keeping and collecting program statistics. Your social security number is required with your permission solely and exclusively for the purpose of federal reporting as required by our grant as a federally funded TRIO program.

Agreement and Signature

I hereby attest that, to the best of my knowledge, the information given in this application is true, complete and accurate. *

Agree
Disagree

Applicant signature (please type your first and last name here) *

Date *