Tulsa Community College

TRIO Student Support Services Application

Thank you for your interest in our TRIO Student Support Services program!  You cannot save and restart this application. Therefore, you may want to review the questions, gather the income information, and then return to submit your application.  If you have any questions, please contact our office at 918-595-8970 or triosss@tulsacc.edu.

General Information:

First Name: *
Preferred First Name: *
Middle Name:
Last Name: *
Date of Birth: *
T Number: *
Gender *
Marital Status
Address *
Address Line 2
City *
State *
Zip *
Cell Phone Number *
Other Phone
TCC Email Address *
Have you previously participated in a TRIO program? *
How did you discover TRIO SSS? (If it was a person, provide their name) *

Are you of Hispanic or Latin descent? *

Race: (Please say yes to at least one)

American Indian or Alaskan Native *
Asian *
Black or African American *
Native Hawaiian or other Pacific Islander *
White *

Are you a U.S. Citizen or permanent resident? *
Do either of your parents have a Bachelor's degree or higher? *
If yes, was it before you turned 18 years of age?
Have you already obtained a college degree? *
Do you have a physical or learning disability? *
If yes, is it documented through the TCC Accessibility Resources Office?
Have you submitted your FAFSA application? *

Personal Statement:

What is your desire for a college education? *
What are your academic goals? *
Do you plan to transfer for a 4-year degree? *
If yes, where? If no, why not? *
What are your career goals after graduation? *
What is your Major? *

Dependency Status:

To determine whether you are a DEPENDENT or an INDEPENDENT student, please answer the following questions:

Were you born before January 1, 1999? *
Are you active duty or a veteran of the US Armed Forces? *
As of today, are you married or emancipated? *
At any time since you turned age 13, were both your parents deceased, were you in foster care, or were you a dependent or ward of the court? *
Do you now have or will you have children who will receive more than half of their support from you between July 1, 2022, and June 30, 2023? *
Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you, now and through June 30, 2023? *
Were you determined to be a homeless youth on or after July 1, 2021? *

If you answered NO to every question, you are considered DEPENDENT and must submit your parent(s) or guardian(s) most recent SIGNED Federal Income Tax form 1040.

If you answered YES to any question, you are considered INDEPENDENT and must submit your most recent SIGNED Federal Income Tax form 1040.

If needed, copies of the Federal Income Tax form 1040 may be obtained from your tax preparer or the IRS using the following link:  IRS Website

Forms may be copied, scanned, or photos taken by cell phone and submitted via any of the following options:

  • Upload link provided below
  • Email: triosss@tulsacc.edu
  • Drop off at Metro Campus, MC 133
  • Fax: 918-595-8972
  • Mail: TRIO SSS, 909 S. Boston Ave, Tulsa, OK 74119
Upload most recent SIGNED Federal Income Tax form 1040 (pg 1 & 2) or tax transcript here:

As an alternative or if you were not required to file Federal Income Tax, please complete an Income Verification Form using the following link: Income Verification Form

Participant Commitment:

The TRIO SSS Program only works if students participate. If you are selected for the program we require the following commitment from you:

  • I WILL participate in tutoring and/or mentoring sessions
  • I WILL participate in at least one (1) Personal Education Plan session with my Academic Counselor per semester
  • I WILL attend at least two (2) TRIO SSS workshops per semester
  • I WILL attend at least one (1) TRIO SSS event per semester
  • I WILL maintain a cumulative GPA of 2.0 or higher 

I will participate in the TRIO SSS services listed above, which are designed to help me reach my academic goals, career goals, and promote cultural growth. 

By signing below, I give permission to Tulsa Community College to release all records relevant to my financial and academic information to the TRIO SSS Program. 

I verify that the information provided in this application is correct and complete to the best of my knowledge.

I give the TRIO Student Support Services program permission to use my statements, images, voice, or combination of these in promotional items and contact me by text, phone, email, fax, or mail.


Sign and Submit:
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Applicant's Signature Pad REQUIRED *
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I agree to the terms included.