Thank you for your interest in joining our TRiO Student Support Services (SSS) program at Worcester State University (WSU)!

Please Read Below Before You Begin The Application: 

Please review the application questions before you begin. Gather any information and/or documentation necessary because once you begin, you cannot save and restart this application. 

If you have any questions, please call our office at (508) 929-8014 or email the program director, njones6@worcester.edu. 

Eligibility Guidelines

Students are eligible to apply for the TRiO SSS program at WSU if they meet the following U.S. Department of Education guidelines:

  • Are enrolled in a WSU undergraduate program or accepted for enrollment at WSU (must be working toward first bachelor's degree)
  • Are a citizen of the United States or have permanent residency
  • Are in need of academic support

Must meet at least one of the following criteria:

  • Neither parent graduated from a four-year college or university
  • Meet government income guidelines based on taxable income
  • Have a documented physical, mental, learning, or ADD/ADHD disability
Student Demographic Information:
First Name *
Last Name *
Middle Name
WSU School ID *
WSU Email: *
Cell Phone Number *
Date of Birth *
Address *
Address 2
City *
State *
Zip *
Gender *
What is your residency status in the U.S.? *
Are you of Hispanic, Latino, or Spanish origin? *
Race: Please check all that apply, at least one must be selected.* 
American Indian/Alaskan Native
Asian
Black/African American
White/Caucasian
Hawaiian or Other Native Pacific Islander
List any additional languages you speak. *
Were you previously enrolled in any of the following TRIO programs? *
Were you referred to TRiO SSS? *
If yes to question above, please provide the name of the person or department that referred you.
Student Academic Information:
Current College Grade Level: *
Major *
Minor 1:
Minor 2:
Concentration:
Are you a commuter or resident? *
How many classes are you taking?
Do you have a documented disability? *
Are you a student athlete? *
Are you in the honors program? *
Student Eligibility Information:
First Generation Eligibility Questions:
Have either of your parents/guardians completed a 4-year degree in the US? 
Parent 1: *
Parent 2: *
At any time since you turned 13, were you an orphan, in foster care, a dependent, a ward of the court or an emancipated minor or in a legal guardianship? *
Family Income Eligibility Questions:
Have you completed your FAFSA for the 2026-2027 academic year? *
What is your Student Dependency Status? *

Independent Student Questions: 

Please complete the following questions, if you identified as an Independent Student on your 2026-2027 FAFSA. 
Did you file income tax forms for the most recent tax year?
Independent Student - What is your household size (including yourself)?
Independent Student - What was your 2025 Taxable Income? (Please refer to IRS1040 Line 15)

Dependent Student Questions:

We will need to verify Taxable Income from your parent or legal guardian. Please provide Name and Contact Information so we can email them an Income Verification Form. Please let them know that they will be receiving an email from us. We will not be able to determine program acceptance until we receive the Income Verification Form. 
Parent/Guardian Full Name (First Name, Last Name)
Parent/Guardian Email (Please confirm it's typed correctly)
Disability Eligibility Question:
Do you have a diagnosed disability? (The ADA defines a person with a disability as a person who has a physical or mental impairment that substantially limits one or more major life activity) *
Are you currently working with staff in the Student Accessibility Services Office at Worcester State University? *

Photo Release: 

By opting in, I hereby grant Worcester State University the right and license to use my name, voice, image/appearance, comments, and demographic information such as age, hometown and/or major, in Worcester State University’s materials for internal and external audiences. These materials include but are not limited to: photographs, advertisements, brochures, view books, news releases, magazines, newspapers, radio, video and web sites.

 
Opt in/Opt Out

Acknowledgement and Certifications

I understand that I have been given the opportunity to participate in the Worcester State University TRIO Student Support Services program. I understand that if I am to receive services from this program, I must accept the following responsibilities as a program participant:

  •  To show consistent progress towards my educational and professional goals;
  • To meet with my TRIO Advisor at least ONCE (1) a month;
  • Participate in at least ONE (1) TRIO- sponsored event/workshop/activity each semester;
  • Utilize any and all resources available to improve my college and personal success

I certify that I am at least 18 years old and authorize the Worcester State University TRIO Student Support Services program to access any and all financial and academic information and/or disability documentation in order to determine my eligibility for services, track my academic progress, and for other legitimate purposes related to my participation in the program. I understand this information will remain confidential. Furthermore, I understand that information may be released as required by law or as requested from the U.S. Department of Education. 

 I hereby grant the Worcester State University TRIO SSS program the right and license to use my name, voice, image/appearance, comments, and demographic information such as age, hometown and/ or major, in Worcester State University’s materials for internal and external audiences. These materials include but are not limited to: photographs, advertisements, brochures, view books, news releases, magazines, newspapers, radio, video and web sites.

 By signing below, I also certify that the information I have provided on this application is true and correct to the best of my knowledge. I release the staff of TRIO SSS from all legal responsibilities on liability that may arise from the actions I authorized.

Applicant Signature:
Please select a signature verification type.