Name:                  

Street Address:                  

City:                  

State:                  

Zip Code:                  

Telephone Number:                  

E-mail Address:

Please answer the following questions so the TRIO staff can respond to your inquiry in a more timely manner.

No Yes

Have you or your parents earned a Bachelor's Degree or higher?

Yes No

Did you apply for financial aid for the current academic year?

Yes No

If yes, were you awarded financial aid for this academic year?

Talent Search Upward Bound Student Support Services None

I have been involved with the following TRIO grant programs:

How many total credits do you currently have at Lansing Community College (this includes any transfer credits)?

How did you hear about the TRIO Program at Lansing Community College?