TRiO Financial Assistance Application
To be eligible for this award, you must be an active 2nd semester active TRIO participant, be enrolled in at least 6 credits, have a cumulative GPA of 2.5 and have completed financial literacy training.

Applicant's signature authorizes the TRIO Program to obtain all academic and financial information necessary to determine applicant's eligibility.
Sign in to Google to save your progress. Learn more
Name: *
Address: *
Home/cell phone: *
Student ID#: *
Marital Status: *
Number of people in your household: *
Number of dependent children:
Employment: *
Place of employment:
Current semester: *
Year: *
Number of credits completed: *
Current number of credits: *
Cumulative GPA: *
Program of study: *
Do you have any federal or state liens or judgments against you? If yes, please explain (please note that this will not affect your eligibility for aid):
Have you applied for emergency scholarship funding through the LFCC Foundation Office? *
If yes, how much and for what purpose?
Please include a written statement that identifies your need(s) including: (1) Your participation in TRiO activities within the past year, (2) How you have benefited from being a part of the TRiO program, and (3) How this assistance would help your emergency situation. *
Applicants's electronic signature: *
Date: *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Virginia's Community Colleges. Report Abuse