TRiO

Student Support Services

Application for NMU’S Student Support Services Program

Student Support Services (SSS) is one of the advising programs at Northern Michigan University. SSS is a federally sponsored TRiO program where students must meet specific eligibility criteria to be considered for participation in the program. By completing this application and responding to all questions to the best of your ability, we will be able to promptly process your application. Name: ________________________________________ NMU IN: ___________________ (First) (M.I.) (Last) Local or NMU Address: ___________________/_________________/_________/_________ (Street) (City) (State) (Zip Code) Permanent Address: _______________/_________________/_________/___________ (Street) (City) (State) (Zip Code) Cell Phone: _______________ Home Phone: ______________ e-mail: _________________ Are you a United States Citizen? □ Yes □ No Are you currently enrolled at Northern Michigan University? □ Yes □ No If you are not currently enrolled, when do you anticipate enrolling ______________ What is the highest level of education reached by your natural or adoptive mother?

□ None □ Elementary □ Middle School □ High School □ GED

□ Some College □ Associates Degree □ Bachelor’s Degree □ Graduate Degree What is the highest level of education reached by your natural or adoptive father?

□ None □ Elementary □ Middle School □ High School □ GED

□ Some College □ Associates Degree □ Bachelor’s Degree □ Graduate Degree

Do you have a documented disability? □ Yes □ No If yes, have you met with NMU’s Disability Services Coordinator? □ Yes □ No As part of the application process for Student Support Services, we are required to have verification of your household income. In many instances, the necessary financial information may be obtained through NMU’s Financial Aid Office. Your signature below indicates that the Student Support Services program has permission to verify your financial information through Northern Michigan University’s Financial Aid Office. ______________________________________________ ______________________ (Signature) (Date) There are some instances when the NMU’s Financial Aid Office does not have the necessary information we need to complete your application. In such instances, we will ask you to provide a copy of a 2016 federal tax transcript:

o Parent federal tax transcript if you are a dependent student o Your own federal tax transcript if you filed taxes as an independent student

A federal tax transcript may be ordered from: http://www.irs.gov/Individuals/Get-Transcript We’re pleased that you have chosen to enroll at Northern Michigan University. Please share your reasons for pursuing a university education. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Tell us about your academic strengths and areas you believe need improvement. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What are your special interests and previous involvement in school and community activities? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What are your concerns regarding being successful at Northern Michigan University? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

TRIO/ Student Support Services

Student Needs Assessment This inventory will help in assessing your need/interest for services which are offered by the Student Support Services Program. Please check YES or NO in response to each of the following questions. Yes No 1. I would like to learn more about my individual learning style. ____ ____ 2. I would like to manage my time more efficiently. ____ ____ 3. I would like to become a better test taker. ____ ____ 4. I am interested in academic support such as tutoring. ____ ____ 5. I need to improve my study habits and skills. ____ ____ 6. I need to improve my writing skills. ____ ____ 7. I need to improve my math skills. ____ ____ 8. I need to improve my reading skills. ____ ____ 9. I am undecided about where to start in choosing a career path. ____ ____ 10. I want to learn which careers typically match my skills and interests. ____ ____ 11 I would like to receive academic advising to prepare me for entry into my major. ____ ____ 12. I am distracted by personal matters to the point that I have trouble studying. ____ ____ 13. I would like to improve communication skills with professors, residential life staff, my roommate, or other students. ____ ____ 14. I would like to know more about assistance that is available for commuter students. ____ ____ 15. I need help with the financial aid process. ____ ____ 16. I would like to learn more about financial & budgeting concerns many students encounter. ____ ____ 17. I would like to utilize disability services (e.g. information/ questions about disabilities, classroom accommodations, etc.). ____ ____

Which of the services listed below do you believe would help support your goals for a successful experience at NMU? □ Academic Major and Career Exploration: Your SSS advisor will assist you to explore potential majors and careers related to your interests. □ Assistance with Course Selection: Your SSS advisor will assist you to understand course requirements for your degree and develop a semester by semester plan to reach your graduation goal. □ Specialized Tutoring: Specialized tutors focus upon assisting students with course content and specific study and test preparation techniques for NMU courses. □ General Support Tutoring: General Support tutors meet with students 1 to 2 times weekly. They may assist you with the development of effective study habits, time management skills, academic tutoring, as well as assisting student new to NMU successfully ‘navigate’ through the university. □ Academic Skill Building: The SSS Academic Coordinator or other campus professionals will assist students in identifying specific academic concerns (i.e. reading comprehension) and the development of strategies to improve academic performance. □ Assistance with Exploring Financial Aid Options: SSS advisors will work with you to explore options for federal student aid, NMU Foundation scholarships, and private scholarships. □ Graduate School Exploration: If you are interested in pursuing a career that requires a masters or doctoral degree, your SSS advisor will assist you with beginning this process including identifying potential graduate programs, financing graduate school, and completing the graduate school application process. □ Access to Social and Cultural Activities: The Student Support Services program strongly encourages participants to attend a variety of social and cultural events in both the university and Marquette communities. We often provide tickets for university theatre productions and the NMU Performing Arts series. Please feel free to include any additional information you would like us to consider while reviewing your application. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________ ________________________ (Signature) (Date) N:\SSS Forms & Letters\SSS Forms\SSS Applicaton 20152010