PARTICIPANT INFORMATION UPDATE
In order to prevent interruption of program services, please take a minute to update the information below and return
your completed form to our offices. The completed form can be mailed to Student Support Services, 1845 Fairmount, WSU
Campus Box 81, Wichita, KS 67260, or hand delivered to our offices at Grace Wilkie Hall, Room 309 o
r emailed as an
attachment to trio.sss@wichita.edu
Date: _______________ Your SSS Academic Advisor: _________________________
myWSU ID:_________________
Current Address: _____________________ City: _______________ State ____ Zip: _____
Email Address: ___________________ Facebook Name: ______________________
Home: (___) ______________ Cell: (___) ______________
Emergency Contact
Contact Person: _____________________________ Phone: (___) __________________
Street Address: _______________________ City: ______________ State: ____ Zip: _____
Fall 2017 Class Schedule:
1) _______________________________ 4) ________________________________
2) _______________________________ 5) ________________________________
3) _______________________________ 6) ________________________________
College Classification: _________________ Major: ____________________________
Your Target Graduation Date: ____________ Are you receiving financial aid? Yes___ / No___
Are you on probation? Yes___ / No___ If yes, what type? _____________________
ACADEMIC SUPPORT NEEDS
Based on your specific academic needs, please indicate the services you would be interested in
receiving or learning more about during the 2017-2018 academic year.
TUTORING ASSISTANCE:
____ Class: __________________________________________________
ACADEMIC SMART SKILLS:
Research Skills
Note Taking Skills
Math Skills
Test Anxiety
How to Study Textbooks
How to Give a Speech
Test Preparation
Learning to Listen
Memorization Skills
SQ3R Reading Improvement
LIFE SMART SKILLS:
Conserving Energy Time Management
Goal Setting Sexual Harassment
Getting Along in the Workplace Resume &
Cover Letters
Respecting Diversity
Career Preparation
Stress Management
Essentials of Customer Service Applying to Graduate School Interviewing
FINANCIAL AND ECONOMIC LITERACY:
FAFSA application assistance Budgeting
Finding Scholarships
Credit
Saving
Student Loan Repayment
OTHER ACADEMIC SUPPORT SERVICES:
Use of the SSS Technology Learning Lab (on-campus computer use & printing)
Laptop/iPad Checkout
Textbook Checkout
Revised 12/2017
Last Name First Name M.I
