2023-2024 SSS STEM Application

Florida Gulf Coast University (FGCU) has two federally-funded TRIO Student Support Services (SSS) programs, SSS-CLASSIC and SSS- STEM. Both programs are designed to serve and assist first-generation college students, students with limited income, and students with disabilities with college persistence and graduation. The programs provide students with resources and services such as academic and personal coaching, peer tutoring, peer coaching, financial literacy education, cultural activities, a computer lab, printing, and workshops. 

This application is for students who have a declared major in the areas of Science, Technology, Engineering, or Mathematics. If you have declared a non-STEM major or are undecided, please go back to the TRIO SSS webpage and select the SSS Classic  application.

Before completing the application, please review all questions and the required information. You cannot save and restart this application. 

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Eligibility Requirements

You must be an admitted student into Florida Gulf Coast University before completing an application for consideration into Student Support Services

In accordance with federal regulations, applicant must meet the following criteria to be eligible: 

1) Be a U.S. citizen or permanent resident AND

2) Be enrolled or accepted for enrollment at Florida Gulf Coast University AND

3) Demonstrate a strong need for academic support AND

4) Meet one or more of the following: 

a)  Be a first-generation college student (neither parent/guardian has a 4-year degree)

b) Have a documented disability

c) Meet income guidelines as set by the Federal Government

 

Selection Process

Only COMPLETE applications from eligible students will be reviewed. After the initial screening, eligible applicants will be notified via Eagle E-mail regarding whether or not they have been invited to schedule a personal interview. During the interview, students will meet with SSS staff to discuss program requirements and student needs; after which the student can decide if they still want to join the program and staff will determine final acceptance. Be sure to check your Eagle E-mail regularly. 

Both TRIO SSS programs can only serve a limited number of students. Priority will be given to complete applications of eligible applicants of eligible applicants who demonstrate the greatest need for support and the greatest desire to be active and engages in the program. 

If you should have any questions about this process please do not hesitate to contact us at 239-590-7834. 

Personal Information

Please be aware that the following questions are being asked due to the U.S. Department  of Education requirements.
First Name *
Middle Name
Last Name *
UIN *
Preferred Name
Permanent Address *
Permanent City *
Permanent State *
Permanent Zip *
Cell Phone Number *
Eagle E-Mail Address *
Date of Birth *
Sex *
Pronouns
Are you Hispanic? *
Are you White/Caucasian? *
Are you African American/ Black? *
Are you American Indian/Alaskan Native? *
Are you Asian? *
Are you Hawaiian or other Pacific Islander? *
How did you hear about TRIO Student Support Services? *
Are you a U.S. Citizen or Permanent Resident? *
Permanent Resident, please provide your A#
What is the highest level of education completed by parent/guardian 1 *
What is the highest level of education completed by parent/guardian 2 *
Do you or did you have an Individualized Education Program in High School? *
Do you have a documented disability? *
If you answered YES to either of the previous two questions, are you registered with FGCU's Adaptive Services?
Were/Are you involved in any of the following program(s): *
If you answered 'other' or 'multiple programs' please list the program(s):
What is your academic need? *
If you selected 'other' or 'unknown', please explain:

Education Information
Major? *
What are your academic goals at FGCU? *
What was your high school GPA?
What were your ACT/SAT scores?
What is your college GPA?
What year in college are you? *
Did you transfer to FGCU from another institution?
If you answered 'yes" to the previous question, please list the name(s) of formerly attended institution(s):

Statement of Income Certification

Please carefully read the definitions below to ensure you are providing the correct information. 

Status:

  • Independent student: a student who is 24 years of age as of January 1; is married; is a veteran of the US Armed Forces; has a dependent; OR was an orphan or ward of the court until age 18.

  • Dependent student:  a student whose parent/legal guardian still claim them on their taxes. Other consideration, if you use your parent/legal guardian's taxes to complete the FAFSA, you are a dependent student. A parent/legal guardian must sign and date this form. ** You will need to include your parent/legal guardian's income tax information below.**

Note: The section of this application requires income tax information. If you do NOT have the required tax information at this time, download the "Statement of Income Certification" form here.

You may submit this form via: 

  • Email: triosss@fgcu.edu
  • Fax: (239) 590-7947
  • Drop off location: TRIO & Outreach Office in McTarnaghan Hall Suite 202
  • Mail: 
    Florida Gulf Coast University
    TRIO Student Support Services
    10501 FGCU Blvd. South
    Ft. Myers, FL 33965

 

*** For consideration into the TRIO SSS Program you MUST submit the Income Certification information by responding to all questions below OR submitting the paper form as stated above ***
Based on the status definitions above, please select one: *
Please select your filing status: *
If you DID file, please complete the following two questions:
Total taxable income for 2022:
Household size for 2022:
If you did NOT file, please complete the following question(s):
Reason for NOT filing:
If other selected for non-filing, please specify

Parent/Legal Guardian Acknowledgement
If you selected "Dependent Student" above, your parent/legal guardian must electronically sign: I HEREBY SWEAR OR AFFIRM UNDER PENALTY OF PERJURY THAT THE INFORMATION REPORTED ON THIS FORM AND ANY ATTACHMENT(S) HERETO IS TRUE, COMPLETE, AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.

Student Acknowledgement

Please read each statement below and answer "yes" or "no".
I HEREBY SWEAR OR AFFIRM UNDER PENALTY OF PERJURY THAT THE IFNORMATION REPORTED ON THIS FORM AND ANY ATTACHMENT(S) HERETO IS TRUE, COMPLETE, AND ACCURATE TO THE BEST OF MY KNOWLEDGE. *
I hereby give TRIO Student Support Services' staff permission to obtain personal, academic, and financial information pertinent to my participation in the program *
I hereby give TRIO Student Support Services' staff permission to contact me via e-mail and text message. *
I understand that the TRIO Student Support Services' staff will keep a record of personal, academic and financial information in their office and they will adhere to confidentiality requirements as outlined under the Family Education Rights and Privacy Act (FERPA). *
I hereby give TRIO Student Support Services' staff permission to release my name and/or picture for special recognition, marketing materials, and University usage. *
Typing your name will serve as an electronic signature. If under 18 years of age, parent electronic signature is required below** *
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.
Parent Electronic Signature (if student is under the age of 18):
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.
Parent E-mail (if student is under the age of 18):