Program Application
Welcome to SUNY Schenectady's TRIO Student Support Services program application. Please complete this application as thoroughly as possible. If you have any questions, please contact us at or 518-381-1465, or stop by our office in Elston Hall 328. 

General Information:
First Name *
Last Name *
Middle Name
Preferred Name:
Student ID: *
Date of Birth: *
Address: *
City: *
State: *
Zip Code: *
Personal Email:
SUNY Schenectady Email:
Cell Phone Number: *

Personal Information:
Personal Information is used by the TRIO office to prepare summary data reports to the Federal government and other agencies. It will not be used in any way to determine your acceptance into TRIO Student Support Services.
Please choose from the following racial/ethnic identities. You may select more than one.
American Indian or Alaskan Native
Black or African American
Hawaiian or other Native to Pacific Island
Are you currently employed? *

Academic Info:
How many semesters have you completed at SUNY Schenectady? *
How many college credits have you completed? *
What is your academic standing?
Are you planning to graduate with an Associate's Degree or Certificate from SUNY Schenectady?
Are you planning to transfer to another college to pursue a Bachelor's degree after graduating from SUNY Schenectady?
Have you completed a high school diploma or equivalent?

Eligibility Information:

Students are eligible to apply for TRIO Student Support Services at SUNY Schenectady if they meet the following U.S. Department of Education guidelines. 

Please check all that apply to you:
I am accepted to SUNY Schenectady and enrolled in classes(currently or for next semester)
I am enrolled in six (6) or more credits at SUNY Schenectady this semester
I am permitted to apply for Federal financial aid as a United States citizen or eligible noncitizen.
I have not yet earned a Bachelor's degree.
I am in need of academic support.

In addition to the above criteria, students are eligible for TRIO if they meet at least one of the following criteria. 

Please check all that apply to you:

First Generation Student:
The parent(s)/legal guardian(s) that I regularly resided with prior to age 18 have not graduated with a Bachelor’s degree (4-year degree)


Income Eligible:

I meet government income guidelines based on the


Accessibility Accommodations:

I have a documented physical, medical, psychological, or learning disability that is registered with the SUNY Schenectady ADA Transition Services Office.

How did you hear about TRIO? *

Sign and Submit:
I hereby apply for services in the TRIO Student Support Services (SSS) program at SUNY Schenectady County
Community College (SUNY Schenectady). I certify that the information I have supplied on this form is true and accurate, to the best of my knowledge. I understand that the TRIO program can share and receive information from my educational benefit with other SUNY Schenectady offices, staff and faculty according to the Family Rights and Educational Privacy Act (FERPA) of 1974. I understand that my application does not indicate automatic acceptance into the program. I understand that I may withdraw from this program at any time. 
Applicant Signature: *
Please select a signature verification type.

Online applications can be submitted by clicking 'Submit Application' below.

Paper applications can be submitted in person to the
TRIO SSS Program Office - SUNY Schenectady County Community College
78 Washington Avenue - Elston Hall Room 328
Schenectady, NY 12305

Or via email to

For more information, stop by our office, call us at 518-381-1465 or visit