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TRIO/Student Support Services

Mailing Address
TRIO/Student Support Services
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2121 Euclid Avenue, BH110
Cleveland, OH 44115-2214

Campus Location
TRIO/Student Support Services
1899 East 22nd Street, BH110
Cleveland, Ohio 44115-2214
Phone: 216-687-2402
Fax: 216-687-5420
trioadvising@csuohio.edu

TRIO Information Request

Please answer all questions before submitting this form if you would like to receive more information about the TRIO Program at �ϰ��ϲʹٷ��.

Last Name

First Name

�ϰ��ϲʹٷ�� ID

Cell/Phone Number

Email Address

High School Graduation Date

Example: May 2017

Last School or College/University of Attendance

Example: John Hay High School, Cuyahoga Community College, GED, etc.

Eligibility Requirements

Questions	Yes	No	Unsure
Has either of your parents/guardians received a Bachelor's Degree?	Yes	No	Unsure
Are you eligible for the Federal Pell Grant?	Yes	No	Unsure
Are you enrolled full time or accepted for enrollment at �ϰ��ϲʹٷ��?	Yes	No	Unsure
Are you a U.S. citizen and/or legal permanent resident?	Yes	No	Unsure

Mailing Address
TRIO/Student Support Services
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2121 Euclid Avenue, BH110
Cleveland, OH 44115-2214

Campus Location
TRIO/Student Support Services
1899 East 22nd Street, BH110
Cleveland, Ohio 44115-2214
Phone: 216-687-2402
Fax: 216-687-5420
trioadvising@csuohio.edu

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TRIO/Student Support Services

TRIO Information Request

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