Thank you for your interest in LSC's TRIO 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 email Jessica Bortolus, TRIO SSS Advisor at
Contact Information:
Legal First Name: *
Preferred First Name:
Legal Middle Name:
Legal Last Name: *
Local Address *
Local Address 2
Local City *
Local State *
Local Zip *
Home Phone:
Cell Phone Number:
Email Address: *
Star ID: *
Demographic Information: How Do You Identify Yourself?
Gender: *
Citizen Status *
My Pronouns: *
American Indian or Alaskan: Native *
Asian: *
Black or African American: *
Hispanic: *
Hawaiian or other Native to Pacific Island: *
White: *
Date of Birth: *
TRIO SSS Program Eligibility:
What is the Last Completed Education Level of Parent/Guardian 1? *
What is the Last Completed Education Level of Parent/Guardian 2: *
Do You Utilize Disability Services at Lake Superior College? *
What is the Status of Your Financial Aid Application? *
Academic Need: 
Please Choose Which Option You Feel Best Describes Your Academic Need: *
Academic Goal:
In a few sentences, please describe your academic goal and how you will demonstrate your commitment to achieving your goal.
Release of Information: 

I certify that the information I have provided on this application is true and correct to the best of my knowledge.  I understand that by applying for the TRIO SSS program, I authorize TRIO SSS staff to obtain records or data pertinent to my participation from LSC and other sources, to release information, as required by law of the terms of the TRIO SSS grant, to the grant-funding agency of the United States Government.  All application information is confidential.


Signature: *
Please select a signature verification type.

To request accommodations and/or this information in alternative formats, please contact: Georgia Robillard, Disabilities Services (218)733-7650 (Voice) or 800-627-3529 (MRS/TTY) or