Thank you for your interest in our TRIO Student Support Services program at Heritage University! Please complete the TRIO Student Support Services (SSS) application as thoroughly as possible.  You can't save and restart this application.  You may want to review the included items, take some time to make notes and gather required documents, and then return to submit your application. 

Fields with an asterisk * are required.  

Once your application is submitted, the TRIO SSS staff will review your application for eligibility and contact you via email with next steps.  

If you have any questions, please call our office at (509) 865-0701, ext. 1734

or email s3trioheritage.edu

Personal Information:
First Name *
Middle Name
Last Name *
Gender *
Heritage University Student ID Number *
Heritage University Student Email Address *
Home/Cell Phone Number *
Can we text you? *
Date of Birth: *
Residential Address *
Postal Address
City: *
State: *
Zip Code: *

For reporting purposes, please select your ethnic or racial background.

Please select at least one race that you most identify with. If you are multiracial you may list additional races below. *
Are you Hispanic or Latino? *
If you identify as more than once race, please list other races here:
Education:
Current Grade Level *
What Heritage University campus are you enrolled in? *
Were you a previous CAMP student? *
Current Enrollment Status: *
Current GPA: *
How's your academic standing? *
Are you a transfer student? *
Program Eligibility:
If you are a Permanent Resident, please upload a copy of your Permanent Resident Card.
Are you a United States Citizen? *
Did either parent attend college of complete college? *
Do you have a documented disability? *

For additional information regarding the Office of Ability Services please email Bianca Chavez, Counselor & Accommodation Specialist at Chavez_B@heritage.edu or call (509) 865-8544 (Ext. 1742).

Income Verification:

*The Federal Processing Center determines a student's dependency status based on the information provided on the FAFSA. Some criteria that may qualify a student as independent include:

  • At least 24 years old
  • Married
  • Veteran or a Member of the Armed Forces
  • Orphan or a ward of the court
  • Someone with legal dependents other than a spouse
  • An emancipated minor
  • Someone who is homeless or at risk of becoming homeless
What is your household size? (Please include yourself). *
What is your current dependency status as it relates to FAFSA? Please refer to the statement above. *
Please indicate the total gross income for your household for the most recent tax year. (Figure can be found on Tax Form 1040 – line 42, or Tax Form 1040A – line 27). *

Sign and Submit:

Both signatures are mandatory unless you are independent. 
Applicant Signature *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.
Parent Signature (if applicable, required if marked dependent).
Signature Type: Simple    Start Over
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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 knowledge. I give TRIO SSS permission to request records to verify my eligibility to the program; such as accommodation forms from the Accommodation Specialist and Family Income information from the Office of Financial Aid. 

*Please note that we will be cross-referencing this information with the Office of Financial Aid to verify your acceptance.