Did you know 61%
of Lake Land College students are #firstgen?
Neither parent or legal guardian earned a four year degree.
triosss@lakelandcollege.edu
217-234-5456
/LakeLandTRiOSSS /lakelandtriosss
07/17
TRiO STUDENT SUPPORT SERVICES
ELIGIBILITY SURVEY
Lake Land College TRiO Student Support Services
5001 Lake Land Blvd, Luther Student Center 414
Mattoon, IL 61938
Office: 217-234-5456 Fax: 217-234-5021
triosss@lakelandcollege.edu
NAME: LAST_______________________ FIRST_______________________ MIDDLE___________
STUDENT ID NUMBER ______________ DATE______________ TELEPHONE______________
ADDRESS__________________________________________________________________________________
CITY STATE ZIP CODE
SECTION I
Are you seeking a two year associate degree and/or planning on transferring to a 4 year institution?
Yes_____ No_____
SECTION II
Did your parents or legal guardians complete a bachelor’s degree or higher?
Yes_____ No_____
Do you have an associate or bachelor’s degree?
Yes_____ No_____
Did you apply for financial aid (FASFA)?
Yes_____ No_____
Are you registered with Lake Land College’s Office of Student Accommodations?
Yes_____ No_____
Return this survey to the TRiO SSS Office. The office’s contact information is listed at the top of the page.
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