Thank you for your interest in our Student Support Services program!  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, and then return to submit your application.  If you have any questions, please call our office at (575) 646-1336.

General Information:
Last Name: *
First Name: *
Middle Name:
Date of Birth: *
Aggie I.D.: *
Gender: *
Address:
City: *
State: *
Zip Code: *
Home Phone:
Cell Phone Number:
NMSU Email Address: *
Citizenship: *
I qualify for the SSS Program, because I have a disability. Registered with Student Accessibility Services
Have you ever participated in a TRIO program, if so which one?

Academic Information:
Current Grade Level: *
Transferring to NMSU:
Major or area of interest:
In the NMSU College of:

Ethnicity: (please mark all that apply)
White
Black or Black American
Asian
Hispanic or Latino
Native Hawaiian or other Pacific Islander
American Indian or Alaskan Native
Race: (please mark all that apply)
White
Black or Black American
Asian
Native Hawaiian or other Pacific Islander
American Indian or Alaskan Native
Family Information:
Do either of your parents have a college or university Bachelor's Degree?
Parents Educational Level:

Sign and Submit:
Applicant Signature *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.
Terms of Submission:
The information provided is true to the best of my knowledge. I give my permission for my NMSU Aggie I.D. to be used to verify eligibility for the program. By participating in TRIO SSS, I give my permission for my social security number to be released to the U.S. Department of Education for Annual Performance reporting. University Financial Aid and Scholarship Services has my authorization to release the status of my financial aid regarding my student requirements, financial aid awards, financial aid holds, satisfactory academic progress, and student account balance.