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) 865-8550 ext. 1725

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: *

TRIO SSS is asked by many groups, including the federal government and newspapers, to describe the ethnic/ racial backgrounds of their students and employees. In order to respond to these request, we ask you to answer the following questions: 
Are you Hispanic or Latino? *
Please select at least one race that you most identify with. If you are multiracial you may list additional races below. *
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?
Are you a current C.A.M.P. student?
Current Enrollment Status: *
Current GPA: *
How's your academic standing?
Program Eligibility:
Are you a United States Citizen? *
If you are a Permanent Resident, please upload a copy of your Permanent Resident Card.
Did either parent attend college of complete college? *
How many people in your household at home?
Do you have a documented disability? *
If yes, have you documented it with the Accommodation Specialist at Heritage University?

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).
Sign and Submit:
Applicant Signature *
Please select a signature verification type.

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.