Perkins Student Support Application

Trinity Valley Community College

Perkins Student Support Application
Perkins Student Support Programs:

Please note several changes to the programs and the guidelines. Please review the updated guidelines here.

Current programs offered:
- Childcare Assistance
- Transportation Assistance
- Laptop/ MIFI Loaner
- Equipment Loaner
Date

MonthDayYear
Date
Name

First NameLast Name
Email
example@tvcc.edu
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TVIN
7-digit student ID number (numbers only)
Gender
Campus Location:

Other
Program/ Major
Select your CTE Program/ Major (only AAS, Certificate, Or OSA programs are eligible)
Number of hours enrolled
Are you currently receiving financial aid assistance?
I am receiving, or will be receiving, the following financial aid assistance (check each box that applies).

Other
Within the past year, have you been out of work to serve as a primary homemaker or caretaker?
I am out of work due to:
I am part of, or have been part of the foster care system.
Within the past 12 months, have you experienced homelessness or housing insecurities.
I am a single parent or a single pregnant woman.
My parent is a member of the armed forces and is on active duty.
Are you learning English as your second language?
Do you identify as a person with a disability or other chronic condition?
Please check all the services you are applying for through Perkins Student Support Assistance Application:
Which semester will you be needing Perkins Student Support Assistance? (A new application is needed each semester)
Upload a Map from your home to the location you are attending.

IF you are attending clinicals please upload a map for each location. (Home to Campus, Home to Clinical site 1, Home to Clinical site 2)
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In additon to the assistance listed in this application, we would like you to be aware of the other services provided by TVCC.

Academic Coaching Sessions: (meet anytime with academic coach for personal one-on-one meetings to help improve learning skills and performance.)

Cardinal Mentor Program: (providing support of students who have non-academic struggles life challenges such as, trying to juggle all their responsibilities, job stresses, money struggles, etc.)

Cardinal Resource HQ: (provides a free food pantry and clothes closet which includes but is not limited to food, personal hygiene items, school supplies, bedding, towels, and various clothing items.)

Cardinal Success Center: (gain motivation to reach academic goals; connect with peers, mentors, and tutors for help.)

Free Tutoring: (online and face-to-face)

Student Access Services: (for students needing reasonable accommodation to assist in meeting educational goals; services for emotional support and disability needs.)

Student Mental Health Counseling: (provides brief, solution-focused counseling for students who are facing personal difficulties)

Student Life: (Through fun, connection, and involvement, Student Life helps students feel like they belong and supports advocacy by strengthening student voices.)
Please select all service which you would like to receive additional information.
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Trinity Valley Community College