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: *
Permanent Address: *
City: *
State: *
Zip Code: *
Student Cell Phone Number: *
NMSU Email Address: *
Citizenship: *
I qualify for the SSS Program because I have a disability and am/will be Registered with Disability Access Services. *

Referral Information:
Have you ever participated in a TRIO program? If yes, which one? *
Who referred you to or how did you hear about the TRIO SSS Program? *

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

Race & Ethnicity Information:
Do you identify as Hispanic or Latino?
Race: (please mark all that apply)
Black or Black American
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.