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First Name
Last Name
Street Address
City
State
Phone Number
Email Address
Personal Information
Gender
Ethnicity
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Are you a US citizen?*
Permanent Resident Alien*
Do you have a permanent resident alien number?
Employment Status*
How many did you claim on your taxes?
Academic Information
Current College Level
Are you a transfer from a 2-year college?*
Do you plan to earn a bachelor's degree from WSU?*
When do you plan on graduating?
Are you a full time student?*
Are you on Academic Probation?*
Has either parent earned a 4-year college degree?*
Have you been out of the academic pipeline for more than 5 years?*
Military Information
What is your current military status?*
Type of discharge (if veteran)*
Disability Status*
Is your disability military-related?*
Are you currently receiving any kind of NON-VA related financial aid (i.e.-FAFSA, loans, active-duty TA)?*
Are you currently receiving any kind of VA educational benefits?*
Are you currently participating in another TRIO Student Support Services Program?*
Which TRIO Student Support Services Program are you currently participating in?