Thankyou for your interest in the TRIO Student Support Services Program at University of Detroit Mercy. Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents such as your 2023 tax information and high school transcripts, and then return to submit your application.  If you have any questions, please call our office at (313) 993-1108.

WHAT IS TRIO SSS?

TRIO Student Support Services is a federally funded program designed to provide underrepresented student populations with academic support, cultural engagement, and personal development programming. TRIO focuses on increasing student persistence and promoting degree completion and realization of career or academic goals.

WHAT SERVICES DO WE PROVIDE?

  • Scholarships & Assistance w/Scholarship Applications
  • Academic Success Planning
  • Monthly Workshops
  • Mentoring
  • Cultural Engagement Visits
  • Assistance w/FAFSA
  • Service Learning
  • Leadership & Professional Development Opportunities
  • Graduate School Site Visits
  • Graduate/Professional School Preparation
  • …and much more!

 

Please review our eligibility information below before proceeding.

To qualify for TRIO Student Support Services at Detroit Mercy applicants MUST be:

  • Currently enrolled or accepted for enrollment at University of Detroit Mercy as an undergraduate student.
  • Be a U.S. Citizen or permanent resident as defined by U.S. Citizenship and Immigration Services.

In addition, those who satisfy the above conditions MUST ALSO meet at least ONE of the following eligibility criteria:

  1. First-generation college student: A student whose parents have not received a baccalaureate degree, or a student who did not regularly live with or receive support from a parent.
  2. Income eligible: A student whose family meets federal income eligibility guidelines (taxable household income is below the federally determined guideline, see federal income chart). This information will be verified using the student’s FAFSA Student Aid Report and signed statement of income verification.
  3. Student with a documented disability: A student who has a documented disability as defined by the Americans with Disabilities Act (ADA), which will need to be verified by Detroit Mercy’s Student Accessibility Services.

TRIO Student Support Services' participation list is limited. Our program serves 140 scholars per year. If the program roster is full, student applicant will be placed on a waiting list and admitted when participant numbers permit. All services are provided at not cost to participants.

TRIO SSS Scholar Expectations

Once a student is selected as a participant in the program, a TRIO SS Success Coach will work with student to develop an Academic Success Plan. Scholars are expected to take an active role in TRIO SSS Program by participating in semester and annual requirements.

 

 
First Name *
Last Name *
Middle Name
Gender *
Date of Birth *
School ID/T#
Preferred Name
Preferred Pronouns
Permanent Address *
Permanent Address 2
Permanent City *
Permanent State *
Permanent Zip *
Email Address *
Cell Phone Number *
Ethnic Background: Hispanic/Latinx *
Race, American Indian or Alaskan Native *
Race, Hawaiian or other Native to Pacific Island *
Race, Asian *
Race, White *
Race, Black or African American *

Eligibility Assessment

Participants must be enrolled or accepted for enrollment at Detroit Mercy (DM) and meet at least one of the following criteria in addition to being a U.S. citizen or permanent resident. (Select all that apply)

 
I am a U.S. Citizen or permanent resident as defined by U.S. Citizenship and Immigration Services. *
First generation college student: a student whose parents have not received a baccalaureate (4-year) degree, or a student who did not regularly live with or receive support from a parent.
Income eligible: taxable household income is at/below federally determined guidelines. See chart below. (Taxable income can be found on 2023 Tax Documents- Form 1040, line 15 and Form 1040-SR, line 15)
Student with a documented disability: as defined by the Americans with Disabilities Act (ADA) and verified by Detroit Mercy’s Office of Disability & Accessibility Support Services.
Have you applied for financial aid? *
Are you receiving the Pell Grant? *

 

Income Verification Statement

Please refer to chart below to see federally determined guidelines. Please provide a copy of your FAFSA Student Aid Report for the current academic year to verify your income.
Number of Family Member *
Family's Taxable Income from Previous Year (2023) (Taxable income can be found on Form 1040, line 15 and Form 1040-SR, line 15) *
(Taxable income can be found on Form 1040, line 15 and Form 1040-SR, line 15)

Academic Information

The TRIO Student Support Services Program wants to know how to best serve your needs. Please provide all applicable information to the best of your knowledge.
Do you have a high school Diploma? *
Do you have a General Education Diploma? *
Were you dual-enrolled? *
If you were dual-enrolled, what school did you receive credit from?
Date you first started or will start at Detroit Mercy. *
Detroit Mercy Class Standing *
Major
Advisor
Do you plan to graduate within 6 years? *
Do you plan to take 1-18 credits per term at DM? *
If you answered yes to the previous question, please select your enrollment status
Have you attended college elsewhere? *
If you answered yes to the previous question, how many credits are you transferring and what school are you transferring from?
Do you plan to graduate from Detroit Mercy?
GPA (If you are new student, enter N/A)
Have you received any grades C or below in any of your college classes?

 

Academic Needs Assessment

Please indicate the areas you may need help with as you make the transition to and through college. Please check a minimum of 2 required services that you would like to receive below.

 

 
Academic Tutoring
Advising
Information on FAFSA/Scholarship
Assistance Completing FAFSA
Financial Literacy Development
Graduate School Preparation
What additional services would you like to receive? Please select all that apply.
Reading and Writing
Time Management
Personal Development
Study Habits and Note Taking
Exploring Majors
Dealing with Stress
Test Taking
Career Planning
Other services not mentioned above?

First Generation & Income Verification 

Individuals interested in TRIO Student Support Services must be enrolled or accepted for enrollment at Detroit Mercy and be a U.S. citizen or permanent resident. Please complete the information below to verify your first-generation eligibility and/or income eligibility. Please provide a copy of your FAFSA Student Aid Report (SAR) for the current academic year to be considered for our program. The information requested below can be found on you or your family’s 2023 income tax returns.

 __________

 
Did your natural or adoptive parent(s) receive a baccalaureate degree (bachelor’s degree from a 4-year institution) prior to you turning 18? *
Did you, prior to the age of 18, regularly reside with and receive support from only one parent, who did not receive a baccalaureate degree (bachelor’s degree from a 4-year institution)? *
Did you, prior to the age of 18, not regularly reside with or receive support from a natural or an adoptive parent? *

You will need to locate the following information: size of family unit, adjusted gross income, and taxable income for the 2023  year.
Number of Family Members *
Family’s Adjusted Gross Income for the 2023 year? (Adjusted Gross Income can be found Line 11(1040-SR) and Line 11(1040). *
Family’s Taxable Income for the 2023 year? (Taxable income can be found on Line15 (1040-SR) and Line 15 (1040). *

Are You an Independent or Dependent Student?

Please respond to the following questions by responding yes or no.

Will you be 24 or older by Jan. 1 of the school year for which you are applying for financial aid? For example, if you plan to start school in August 2023 for the 2023-24 school year, will you be 24 by Jan.1, 2024 (i.e., were you born before Jan 1, 1991)? *
Are you married or separated but not divorced? *
Will you be working toward a master’s or doctorate degree this academic year (such as M.A., MBA, M.D., J.D., Ph.D. Ed.D., etc.)? *
Do you have children who receive more than half of their support from you? *
Do you have dependents (other than children or a spouse) who live with you and receive more than half of their support from you? *
Are you currently serving on active duty in the U.S. armed forces for purposes other than training? *
Are you a veteran of the U.S. armed forces? *
At any time since you turned 13, were both of your parents deceased, were you in foster care, or were you a ward or dependent of the court? *
Are you an emancipated minor or are you in a legal guardianship as determined by a court? *
Are you an unaccompanied youth who is homeless or self-supporting and at risk of being homeless? *

All Applicants for TRIO SSS please select either “independent” or “dependent” based on your responses to the questions above.

If you answered "NO" to ALL of the questions above, you’re still considered a DEPENDENT STUDENT for purposes of applying for TRIO Student Support Services even if you don’t live with your parents, are not claimed by your parents on their tax forms or are paying for your own bills and educational expenses.

Please remember your dependency status, as you will be REQUIRED to provide a parent signature at the end of the intake forms if you ARE A DEPENDENT STUDENT.

 
If you answered YES to ANY of these questions, then please select yes. You may not be required to provide parental signatures at the end of this application. *
If you answered NO to ALL of the questions above regarding dependency status, then select yes. You ARE considered a DEPENDENT STUDENT-- You will be required to provide parental signatures at the end of this application. *

Short Answer Response

Please explain, in detail, your academic need for TRIO SSS and how you expect to benefit/enhance your academic and collegiate experience from becoming a participant in the program.

Please be sure to include/identify any challenges you feel you may get in the way of your academic success as a college student. Also, include any courses or subject areas that may pose as an obstacle. 

Look at photo below of potential academic success obstacles.
Submit Response Here *
Study Skills Obstacles
Poor study habits and time management skills
Poor study environment
Inadequate academic skills and subject knowledge
Poor note-taking skills
Poor concentration
Unclear educational goals
Negative attitude towards academic workload
Challenges with assessment
Challenges with teacher relationship
Lifestyle Obstacles
Overextended
Excessive screen time and social activities
Not enough sleep
Family Commitment Obstacles
Unclear education goals
Homework overwhelming
Household chores
Too much time working at family business/Farm
Too much time babysitting siblings
Outside Commitment Obstacles
Too much time working at the job
Too much time voluteering
Religious commitments
Personal Obstacles
Unclear goals/no goals
Poor decision-making skills
Inadequate energy
Fear and experience of failure
Family-related challenges
Family-related challenges
Relationship worries/breakup
Mental/Physical issues
Concerns about future prospects

Authorization to Exchange or Request Information

Student information is confidential under the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. 1232g. Therefore, your authorization is necessary to permit (a) the release of information concerning your academic progress to your parent(s), guardian(s), or designee and (b) to seek information about your academic progress from teachers, financial aid officers, disability resource officials and/or other university personnel.

 The Authorization to Exchange/Request information is for the above stated purpose.

Upon submission of this application, you, hereby authorize the TRIO SSS Program at University of Detroit Mercy to contact either or both of my parent(s), guardian(s), designee and/or professors to exchange/request academic information including but not limited to grades, test scores, and progress reports.

 You further authorize TRIO SSS to access your financial aid (FAFSA) information for the purposes of federal reporting and program qualifications.

You understand that this authorization is being used to allow the TRIO SSS program staff and parent(s), guardians(s), designee, instructors, financial aid officials, disability resource officials and university personnel to communicate and work together on your behalf.

 You understand that you have a right to be told what information was exchanged.

You affirm that you are eighteen (18) years of age or older, if you am not eighteen, you have also included a parent signature to this application upon submission.

Statement of Verification

Please check box below to indicate that all information provided on this application is true and complete to the best of your knowledge.

By checking this box, you are also acknowledging that you understand that the services listed above are being provided and may change at any time.

Statement of Agreement and Consent

I authorize Detroit Mercy TRIO Student Support Services to gather my standardized testing scores, financial aid reports, transcripts, accommodation needs,  and other necessary information to provide the services I have requested, and to make reports to the U.S. Department of Education for the re-funding of this program. I also authorize UDM TRIO SSS to obtain periodic reports from my instructors regarding my academic progress for courses in which I am enrolled. I understand that all information will be kept confidential and will be used for the following specified purposes: Student demographic data and record keeping, program eligibility, program evaluation, student needs assessment, federal reporting, presentations, conferences, publications, and other administrative purposes.

I also authorize UDM TRIO SSS to use any data gathered, after records are made anonymous by removing my identifying information, for presentations, conferences, publications, and any other use related to research, or academic/professional development. 

I grant UDM TRIO SSS permission to use photographs, quotes, academic accomplishments, statements and/or print my first and last name in any and/or all publications for UDM TRIO SSS.

I have read and agree with the Statement of Authorization to Exchange or Request Information, Statement of Verification, and the Statement of Agreement and Consent.
Student Signature *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.
Parent Signature (REQUIRED-if student is under 18 and/or if student is a DEPENDENT student as determined above). If you are a INDEPENDENT student (as determined above), please insert "N/A" in the signature box and submit. *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.
Were you referred to TRIO SSS? *
What is the full name of the person who referred you to TRIO SSS? (If you were not referred, please put N/A)
What role does the person who referred you to TRIO SSS hold on campus?