Thank you for your interest in our Student Support Services STEM program! This program is focused on students who are interested in pursuing careers in science, technology, engineering, math or the health sciences.

Please complete this application in it's entirety. You cannot save and restart this application. 


What is TRIO/Student Support Services?

TRIO/Student Support Services (TRIO/SSS) is a federally funded program committed to providing educational opportunities for first-generation, income eligible and students with a diagnosed disability. The TRIO/SSS program is designed to assist you by providing supportive services to promote learning, personal development, retention, and facilitate your transfer process to a four-year institution.


Student Demographics and Information:
School ID *
Date of Birth: *
Last Name: *
First Name: *
Middle Name:
Preferred Name *
Marital Status
Gender
Address: *
Address 2:
City: *
State: *
Zip Code: *
Phone Number (Best Contact)
Email Address:
Race, American Indian or Alaskan Native
Race, Asian
Race, Black or African American
Race, Hawaiian or other Native to Pacific Island
Race, White
Race, Hispanic
Language Spoken
Military Status: Active, Veteran, Reserves, N/A
Do you have a disability that may affect your academics/classes? (Yes, No, Not Sure)

If yes, or not sure you can follow up with Disability Support Services to sign up for other services regarding your medical concerns. You may contact them at (616) 234-2105 or via email at disability@grcc.edu.


Other Personal Info Required
Are you a TRIO alumni? (Talent Search, Upward Bound Program): *
Did either parent graduate with a bachelor’s degree in the U.S.A.? (Yes, No, Not Sure)
Did you file a FAFSA (Free Application for FederalStudent Aid)? (Yes, No, Not Sure)
What degree/academic program are you pursuing?

Sign and Submit:
Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.
Applicant Signature *
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