I certify that the information provided on this application is correct to the best of my
knowledge, and I give permission to the TRIO staff to access my academic, financial,
and disability information to verify my eligibility for TRIO programs. I understand that
this information will be kept confidential.
I give the TRIO staff permission to discuss my grades, classroom skills/difficulties with my instructors in order for appropriate tutoring/student support to be arranged. This information may be given to TRIO in verbal or written form.