TRIO SSS MAP Application | Sonoma State University



Thank you for your interest in the TRIO Student Support Services - Multilingual Achievers Program (MAP) at Sonoma State University! Please complete this application as thoroughly as possible. Questions about this application? Contact us at triosss@sonoma.edu

General Information:
School ID *
First Name *
Last Name *
Email Address *
Have you already earned a Bachelor's degree? * Yes No
Are you a current or incoming student? Current SSU Student Incoming Student

Demographic Information:
Gender * Male Female Nonbinary or another gender
Are you Latino or Hispanic? * Yes No
Are you American Indian or Alaska Native? * Yes No
Are you Asian? * Yes No
Are you Black/African-American? * Yes No
Are you Native Hawaiian or other Pacific Islander? * Yes No
Are you White? * Yes No

TRIO SSS MAP Eligibility Information:
Do either of your parents/guardians (biological or adoptive) have a Bachelor's degree? * Yes No
Are you a student with a disability? (optional) Yes No
If yes, are you registered with SSU's Disability Services for Students (DSS)? (optional) Yes No
Was English your first language, or did you learn another language at the same time as English? * Yes No
For financial aid purposes, are you considered a dependent or independent student? * Dependent Independent
If you are Dependant, what is your parent/guardian email address? If, Independent, please list N/A * *
What is your estimated family size? * 1 2 3 4 5 6 7 8 9 10
What is your or your parent(s)/guardian(s) (if dependent) estimated income range? * $0-$23,940 $23,941-$32,460 $32,461-$40,980 $40,981-$49,500 $49,501-$58,020 $58,021-$66,540 $66,541-$75,060 $75,061-$83,580 $83,581+

How Can TRIO Support You?
I would like help with Academic Advising * Yes No
I would like help choosing a major * Yes No
I would like help with time management * Yes No
I would like financial aid guidance * Yes No
I would like help learning about or preparing for graduate school * Yes No
How comfortable do you feel with math right now? * Very comfortable Somewhat comfortable Somewhat uncomfortable Very uncomfortable
How comfortable do you feel with writing right now? * Very comfortable Somewhat comfortable Somewhat uncomfortable Very uncomfortable
How confident do you feel with your current study skills? * * Very confident Somewhat confident Not confident
Are you currently working? * No Yes: Part-time Yes: Full-time
Do you have regular caregiving responsibilities? * Yes No

Are You Concerned About Any Of The Following This Academic Year?
Housing stability * Yes No
Food access * Yes No
Transportation * Yes No

Tell Us About Your Goals
In 2-3 sentences, describe what you are hoping to gain from the TRIO Multilingual Achievers Program. *

Other Information
How did you hear about us? * Advisor Digital Ad DSS Email EOP Peer Coach Faculty/Staff Flyer or mailer Friend Campus event Seawolf Scholars Social Media TRIO website Other
Other
Would you like information on any other student support programs? Educational Opportunity Program (EOP) Mathematics, Engineering, Science Achievement (MESA) McNair Scholars Military and Veteran's Resource Center Project Rebound Seawolf Scholars
Are you willing to meet with a TRIO advisor at least 2x per semester? * Yes No

Parent/Guardian Contact Permission (Dependant Students Only) By submitting this application, I give permission for TRIO Multilingual Achievers Program to contact my parent/guardian to verify my family income. Privacy Statement The information that you provide to TRIO Multilingual Achievers Program is retained in the program office and is protected by the Federal Family Education Right and Privacy Act (FERPA). Only authorized personnel will see this information. The U.S. Department of Education has the authority to gather the information in order to determine eligibility for the program and to evaluate the success of the program services. Acknowledgement By signing below, I affirm, under penalty of perjury, that all information provided in this application is true, complete, and accurate to the best of my knowledge. I acknowledge that any false statement may be cause for denial or withdrawal from the program.
Signature Type: Simple Start Over Reset Signature Pad Click here to start signing. Tool Dialog Close Pencil Reset Signature: (Type in your full name) I agree to the terms included.