SSS Classic Program Application

 

Thank you for your interest in our Student Support Services Classic program. Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application. 

If you have any questions, please contact us at at (352) 395-5836, or student.support.services@sfcollege.edu. 

Visit our website to learn more. 
Section One: Student Information
Last Name: *
First Name: *
Middle Name
Date of Birth: *
Please verify your birth year is correct.
SF ID *
Gender *
Address: *
Address 2:
City: *
State: *
Zip Code: *
Home Phone
Cell Phone Number: *
Email Address: *
May we send occasional TEXT MESSAGES with program information to your preferred phone number? *

Race & Ethnicity

Please select Yes to all that apply. Please select No/Unknown on all others.
Are you Hispanic or Latino? *
Asian *
American Indian or Alaskan Native *
Black or African American *
Race, Hawaiian or other Native to Pacific Island *
White/Caucasian *
Multiracial, please specify:
Academic Information
What is your current class standing? *
What is your current major? *
What is your approximate graduation date at SF? *
Which 4-year institution are you interested in transferring to when you complete your degree at SF? *
What kind of career, job or degree program are you interested in pursuing after you graduate SF?
Are you or have you been a part of any of the following programs? *
Please select any of the following situations that are applicable to you:
Are you a veteran? *
Homeless *
Foster Care *
How did you hear about SSS? *
Other/Referred by:

Section Two: Eligibility Information

As a federally funded TRiO program, Student Support Services at Santa Fe College is required to provide student eligibility documentation to the U.S. Department of Education. Your responses are protected by the Family Rights and Privacy Act and will be held in strict confidence. The information requested ahead is required to determine your eligibility to join the program. 
Have you served in the U.S. Military? *
Are you a U.S. citizen? *
Do you have a physical or learning disability? *
Are you, or do you intend to register with SF’s Disability Resource Center? *
What is the highest level of education achieved by parent 1? *
What is the highest level of education achieved by parent 2? *

Income Verification

TRIO SSS staff will reach out to request that you complete a separate Income Verification Form. If you are a dependent student, your parent or legal guardian will need to complete and sign the form. Please monitor your Santa Fe College student email for any updates or additional requests for information.

   

Document considered for income verification purposes include:  

    • Signed Income Verification Form 

Resources:

Section Three: Student Support

In which of the following areas would you like to receive services to support you academically? Please check all that apply.
Academic Support/Tutoring *
I would like help creating study habits. *
I am afraid of failing a college course. *
I am undecided on my college major. *
I would like to find an internship. *
I have significant responsibilities (children, siblings, spouse, etc.) *
I plan to work 20+ hours per week while attending school. *
I have significant financial responsibilities beyond the cost of college. *
English is not my first language. *
Sometimes I feel like I do not belong. *
I lack a support structure at home. *
I have been out of school for over 5 years. *
Statement of Interest
I am seeking an A.A. Degree at Santa Fe College with the intent to transfer to a four-year school. *
Why are you interested in becoming a TRIO Student Support Services participant, and how can our team help you reach your goals? *

Section Four: Student Agreement

If I am accepted into Student Support Services, I agree to the following:

  • I will meet with my SSS Academic Coach three times per semester.
  • I will develop an Individual Student Success Plan with my SSS Academic Coach each semester.
  • I will take ownership of academic success and personal growth.
  • I will be proactive in seeking help.
  • I will maintain good academic standing each term.
  • I will attend required class sessions.
  • I understand that to be considered an SSS Active participant and to be considered for grant aid, I must participate in the program as outline above.
Do you agree to the terms listed above? *
I understand that to be eligible for Student Aid I must abide by the Student Agreement, and that students in their first or second year of college will receive priority. *

Audio/Video and Photo Release

I, the undersigned, grant to Santa Fe College (“SF”) and its District Board of Trustees, and all of its agents, trustees, employees, designees, legal representatives, and all persons acting under their permission or authority (hereafter “Releasees”), the unrestricted, irrevocable, and perpetual right to use – including, without limitation, copyright, publish, re-publish, broadcast, transfer, alter, distribute, display, perform, reproduce, and incorporate into other works – any photograph, video, digital file, or other likeness (hereinafter collectively the “images”) of me in SF’s possession or control in any medium now known or in the future invented, for any purpose, including without limitation, trade, solicitation, promotional, advertising, and marketing, without compensation, prior inspection, or further permission from me.

I consent to each and every use by Releasees of each image of me, and I understand I will not be compensated for same. Such uses may include use in a program, catalog, schedule, newspaper, brochure, advertisement, or other publication or recording that describes, portrays, publicizes, or advertises SF or any College operation, and every reproduction, replication, or other re-use of the same.

I am fully aware that my likeness may appear in materials available to students, parents, faculty, or staff of SF, and individuals outside of the SF community. I further understand that SF is under no obligation to use the images and has made no representations to me in this regard.

I release, hold harmless, and agree not to bring any legal action against any and all Releasees with
regard to all claims and liability relating to the audio/video/photograph, including, but not limited to, any claims for defamation, invasion of privacy, invasion of right of publicity, misappropriation of
likeness, infliction of emotional distress, negligence, any right, title, or interest in the images, or any other physical or monetary injury, including any blurring, distortion, alteration, optical illusion, or use in composition form, whether intentional or otherwise, that may occur or be produced in the taking of said photograph or likeness or in any subsequent processing of same, or any publication or uses of same.

I declare that I am 18 years of age or older, and I acknowledge and consent to and agree to be bound by the terms and conditions set forth above.
I agree to this photo release:

Sign and Submit:

I certify that the information I have provided on this application is, to the best of my knowledge, complete and correct. 

Furthermore, I understand that by applying for the TRIO SSS Program, I authorize program staff to obtain records or data pertinent to my participation from other sources, and to release information, as required by law or the terms of the SSS grant, to the grant funding agency of the U.S. government.

**NOTE** If you prefer to not sign this document electronically, you may contact shanita.dunmore@sfcollege.edu, to receive it in paper form. 
Applicant Signature *
Please select a signature verification type.

Commitment to Equal Access and Equal Opportunity

Santa Fe College (SF) is committed to maintaining a work and educational environment that embraces diversity and where no member of the college community is excluded from participation in, denied the benefits of, or subject to discrimination in any college program or activity based on: their race, ethnicity, national origin, color, religion, age, disability, sex, pregnancy status, gender identity, sexual orientation, marital status, genetic information, political opinions or affiliations, or veteran status. This commitment applies to employees, volunteers, students, and, to the extent possible, to third parties, applicants for admission, applicants for employment, and the general public.

Inquiries regarding non-discrimination policies or concerns about discrimination or harassment, including concerns about sexual harassment or sexual violence under Title IX, should be directed to SF's Equal Opportunity Officer and Title IX Coordinator, 3000 NW 83rd Street, R-Annex, Room 113, Gainesville, Florida 32606, 352-395-5950, equity.officer@sfcollege.edu.