Reapplying to TRIO SSS at FRCC-Boulder County Campus

We know that sometimes life happens and stepping away from things can be the best decision at the time. Now, we are excited to have you back in the TRIO SSS Community! 

Since it has been more than a year that you have participated in the program, we just want to check-in to see how we can best support you and what your goals are now that you are back. 

Please take the time to fill out this information below and someone will connect with you about next steps.  

If you have any questions, please contact us via email at BCC.TRIOSSS@frontrange.edu.
Personal Information
FRCC Student Number: *
First Name: *
Middle Name:
Last Name: *
Preferred Name:
Pronouns:
Preferred Language(s):
Contact Information
Address: *
Address 2:
City: *
City: *
Zip Code: *
Cell Phone:
Home Phone:
Preferred Contact Method: *
FRCC Student Email (@student.cccs.edu). If you are new to FRCC, use your personal email and we will update it when you enroll in classes: *

Education Information
Have you completed a degree or certificate since you were last in TRIO SSS? *
Do you plan to complete a degree or certificate at FRCC? *
Do you plan on transferring to a 4-year school when you graduate? *
What is your academic program (major)? Explore programs on the FRCC website. *
What is your cumulative GPA at FRCC? *
What is your academic standing? Learn about academic standing on the FRCC website. *
I plan to transfer to...(list all schools you're thinking about):
TRIO Scholar History and Future
Why did you take a break from the TRIO SSS program? *

Tell us about your growth since your last TRIO experience? *

What are your goals at FRCC and what support do you need from TRIO SSS to accomplish them? *
Sign and Submit
I certify that the information given to the BCC TRIO SSS Program staff is true and correct to the best of my knowledge. If I am readmitted into the BCC TRIO Student Support Services program, I will participate in services (three coaching sessions, two workshops and one peer mentor/tutoring session per semester.) I understand that these services will help me achieve my academic, graduation and careers goals.

I understand that by electronically signing this document by typing my full legal name, that I acknowledge, agree, and attest that the information provided by me is true and correct and I am freely intending to create and adopt this signature as my own legal binding electronic signature that carries the same legal effective and enforceability as my handwritten signature.
Print Name: *
Applicant Signature *
Please select a signature verification type.