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: ________________________________________
(First)
(M.I.)
(Last)
NMU IN: ___________________
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
□ Some College
□ Elementary
□ Middle School
□ Associates Degree
□ High School
□ Bachelor’s Degree
□ GED
□ Graduate Degree
What is the highest level of education reached by your natural or adoptive father?
□ None
□ Some College
□ Elementary
□ Middle School
□ Associates Degree
□ High School
□ Bachelor’s Degree
□ GED
□ 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 2014 federal tax transcript:
o
o
Parent federal tax transcript if you are a dependent student
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.
1.
I would like to learn more about my individual learning style.
Yes No
____ ____
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.
____
____
I am distracted by personal matters to the point that I have
trouble studying.
____
____
I would like to improve communication skills with professors, residential life
staff, my roommate, or other students.
____
____
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.
____
____
I would like to utilize disability services (e.g. information/
questions about disabilities, classroom accommodations, etc.).
____
____
12.
13.
14.
17.
____
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