SmartPath Scholar Eligibility Form

Student Information

Full Legal Name:

Preferred Name (if different):

Do you have a SSC Student ID Number?

Yes

No

Please enter your SSC Student ID Number:

SSC Email Address (or personal email address if awaiting admission)

Phone Number:

Date of Birth:

Enter your Permanent Home Address

Street Address:

City:

State:

Zip Code:

Gender:

Marital Status:

Number of Children under 18:

Are you a U.S. Citizen?

Yes

No

Are you a Permanent Resident?

Yes

No

Select your ethnic background:

What is your first language?

Enrollment Information

What is your Academic Major?

Anticipated Enrollment Status:

Full-time (12+ credits)

Part-time

TRIO Eligibility

Are you a First-Generation College Student? (Meaning your parents or legal guardians did not complete a baccalaureate (four-year bachelor's) degree)

Yes

No

Federal TRIO Programs Current-Year Low-Income Levels

(Effective January 15, 2025 until further notice)

Size of Family Unit	48 Contiguous States, D.C., and Outlying Jurisdictions	Alaska	Hawaii
1	$23,345	$29,325	$26,985
2	$31,725	$39,645	$36,480
3	$39,975	$49,965	$45,975
4	$48,225	$60,285	$55,470
5	$56,475	$70,605	$64,965
6	$64,725	$80,925	$74,460
7	$72,975	$91,245	$83,955
8	$81,225	$101,565	$93,450
Each Additional Family Member	$5,500	$6,880	$6,330
¹https://www.ed.gov/about/ed-offices/ope/trio/federal-trio-programs-current-year-low-income-levels * This Low-Income limit chart refers to Taxable Income. Taxable income is found on line 15 of Form 1040.

Based on the chart above, using the number of people in your home (family size) and the total taxable income of the workers in your home:

Do you believe you meet federal low-income guidelines?

Yes

No

Unsure

Have you applied for financial aid at Seminole State College of Florida?

Yes

No

If yes, the income data will be obtained from the Financial Aid office.

If no, to be eligible for program services as a low-income student, you will be required to complete a FAFSA and provide financial information such as tax returns to determine eligibility.

Do you have a documented disability for which you are requesting services?

Yes

No

Have you participated in a TRIO program in the past?

Yes

No

Are you willing to meet with TRIO SSS: SmartPath staff regularly and respond to check-ins?

Yes

No

Participation Commitment

SmartPath participants are expected to:

Meet regularly with program staff.
Participate in required annual academic support activities:
- Required attendance in class.
- 3 1:1 Coaching Sessions (1 per semester-Spring, Summer, Fall)
- 2 tutoring sessions a year
- 3 workshops a year
- 5 hours of study time in the Academic Success Center or TRIO SSS Center (per semester)
- Summer Intensive participation
- Respond to outreach and progress check-ins.
- 3 Required GPA of 2.0

Certification & Consent

BY CHECKING THIS BOX, I certify that the information provided is accurate to the best of my knowledge and understand that eligibility must be verified according to federal TRIO guidelines.

We like to recognize student achievements. BY CHECKING THIS BOX, you grant permission to include your name, image, and likeness for program-related publicity, exhibits, or displays.

BY CHECKING THIS BOX, I hereby authorize the release of my records in reference to academic transcripts, degree plans, personal assessment scores, financial aid, and any other pertinent information related to my academic endeavors to the Student Support Services staff of Seminole State College of Florida.

Student Name:

Date:

Apps

Student Resources

Faculty & Staff Resources

Federal TRIO Programs Current-Year Low-Income Levels

Contact