Project Strive/TRIO Student Support Services Application 

Thank you for your interest in our Student Support Services program! Please complete this application as thoroughly as possible.  You CANNOT save and restart- so please read the application, make notes and gather required documents.  You might want to type your essay questions in Word and then cut and paste them into the sections of the application. 

 If you have any questions, please call our office at (308) 432-6069.

Fields marked with an asterisk (*) are required. 
General Information:
US Citizen - if you answer no, you are not eligible for the program *
If no, are you a permanent resident?
Last Name *
First Name *
Middle Name *
Date of Birth *
School ID *
Gender *
Permanent Address *
Permanent City *
Permanent State *
Permanent Zip *
Cell Phone Number *
CSC EagleMail Address Only *
How did you hear about Project Strive/TRIO
Ethnicity *
Race. American Indian or Alaskan Native *
Race, Asian *
Race, Black or African American *
Race, Hawaiian or other Native to Pacific Island *
Race, White *
Educational Information 
High school attended-including city & state *
High School GPA *
ACT Composition Score *
What is your planned academic major? *
College Grade Level (Start) *
Do you have a documented physical, cognitive, or psychological disability? *
If Yes, is your disability on file with the CSC Disabilty Service Office? *
Have you previously particpated in any of the following TRIO programs (Upward Bound, EOC, Talent Search, SSS)? *
If yes, which one and where did you particpated in a TRIO program? *

______________________________________________________

Family Information 
Has your mother completed a bachelor's degree or higher? *
Has your father complete a bachelor's degree or higher? *
Family Income Range *
How many family members are in your household (living at home and.or supported by your parents/guardians)? *

You are a  Dependent Student  if you:

  1. are under 24 years of age; or
  2. lived with and received more than half of your support this past year from parent(s) or guardian(s).

Number of Family Members is defined as:

  1. you, your parents, and the dependents of your parents;
  2. if your parents are divorced or separated, family members include the parent whose income is used to compute available income for federal financial aid eligibility and that parent’s dependents, including you.
  3. if your parents are divorced and the parent whose income is used for this form is remarried, or if your parent is a widow or widower who has remarried, family members also include the new spouse and any dependents of the new spouse if that spouse’s income is included in your parent’s taxable income.

Taxable income is found on the following tax form lines: 1040 – line 15
If you are a Dependent Student, please provide: Parent(s) 2024 Taxable Inocme $ *
Parent Signature & Date *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.

You are an  Independent Student  if you:

  1. are 24 years of age or older by December 31, 2024;
  2. are an orphan or ward of the court or were a ward of the court until age 18;
  3. are a veteran of the Armed Forces of the United States;
  4. are a graduate or professional student;
  5. are a married individual;
  6. have legal dependents other than a spouse; or
  7. have been approved for independent status by a financial aid administrator.

Number of Family Members is defined as:

  1. if you are married: you, your spouse, and your dependents
  2. if you are divorced or separated: do not include your spouse (or ex-spouse), but do include you and your dependents.

Taxable income is found on the following tax form lines: 1040 – line 15
If you are an Indepent Student, please provide: Your 2024 Taxable Income $
Student Signature and Date: *
Signature Type: Simple    Start Over
Click here to start signing.
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Signature: (Type in your full name)
I agree to the terms included.

Terms of Submission

By submitting this application:

  • I acknowledge that all of the above information is correct and accurate to the best of my understanding.
  • I give TRIO permission to examine my financial aid information in order to determine my eligibility for the TRIO program.
  • I give TRIO permission to access my education records, including information given to disability services, to evaluate my academic progress and provide individualized support.