The mission of TRIO Educational Opportunity Center (EOC) is to increase the number of adults who enter into postsecondary education and to provide a range of services such as educational counseling, admission and financial aid application assistance, enrichment workshops, and more! 

Thank you for your interest in joining the TRIO Educational Opportunity Center (EOC) program. By completing this application, you agree to receive services and communications from TRIO EOC.

All fields marked with * are required and must be filled.
Applicant Information:
First Name *
Last Name *
CCC Student ID # (if applicable)
Date of Birth *
Are you Hispanic/Latino? *
Race *
Current Age *
Street Address *
Apartment, suite, unit, floor, etc.
City *
State *
Zip Code *
County *
Cell Phone *
Email address *
Gender
Citizenship *
U.S. Military Status
Income Verification:
How many persons (including yourself) lived in your household last year? *
What was your total household income last year? *
Educational Data:
Do you have a H.S. Diploma? *
Are you currently enrolled in a GED program? *
Check box if you are currently enrolled in ESL (English as a Second Language)
Current School/Program Name (e.g. Malcolm X, Wilbur Wright College) *
Have you completed a college admissions application? *
College:
Semester/Year:
Have you completed a financial aid application (FAFSA)? *
Year:
TRIO Programs you have utilized in the past *
Did either of your parents earn a four-year college degree in the U.S.? *

Program Services:

Please select the following services that you are interested in. This information will help us create an Individualized Action Plan (IAP) for you and help you reach your educational and career goals (please check at least 2 services).
Admissions and College Applications
Financial Aid Application Assistance (FAFSA)
GED Information/Referral
Major and Career Exploration
Financial Literacy
Survey:
How did you hear about us? (Ex. Event, Workshop, Family/Friend) *
Please specify:

Sign and Submit:

Instructions (PLEASE READ): Click inside the signature pad and use your finger to sign your name (Note: if it does not work the first time, click "Reset Signature Pad" and try again). Once you have signed, type your first and last name in the box below the signature pad. Next, check the box to agree to the terms then click "Sign and Submit Signature". Once that is complete, the last step is to click "Submit Application".
Sign Here *
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Signature: (Type in your full name)
I agree to the terms included.