TRIO Student Support Services Interest Form - Student Support Services

I am interested in being considered for the University of Maine TRIO Student Support Services Program. Below is my information:

First name*
Last name*
MaineStreet ID (if known)
Current Street Address (campus building and room if currently residing on campus)
Current Town, State, Zipcode
Date of Birth (this information helps us find you on MaineStreet):*
Month
Day
Year
Preferred Email*
Phone number:
May we text you at this phone number?
- Yes
- No
Did the parent or guardian with whom you lived graduate from a four-year college?*
Do you have a documented disability on file with Student Accessibility Services (SAS)?*
Please briefly describe why you are applying for SSS services:
What is your enrollment status?*
- I am currently enrolled in classes at UMaine
- I will be attending UMaine in the future
Thank you for submitting your application. A TRIO Student Support Services application will be mailed to the address you provided. If you have any questions, please reach out to Outreach Coordinator Derek Francis at derek.francis@maine.edu