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Thank you for your interest in our TRIO Student Support Services program!  This should take about 20 minutes to complete.

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. 

NOTE:  You must sign this application, and if you are under age 24, you must also have your parent/guardian's signature. 

If you have any questions, please call our office at 937-512-3550 or email tyann.stewart@sinclair.edu.

First Name *
Last Name *
Permanent Address *
Sinclair ID Number *
Permanent Zip *
Major *
Sinclair Email Address *
Cell Phone Number *
Date of Birth *
Martial Status *
Gender *
SA Ethnicity
CHECK THIS BOX-ONLY IF US CITIZEN or PERM RESIDENT (If not, leave blank)
Academic Need *
COLLEGE GRADE LEVEL *
High School GPA *
Current Sinclair Grade Point Average (GPA) (If you are NOT a current Sinclair student, please write 0) *
How many people are in your household? *
Family Taxable Annual Income *
Have either of your parents completed a four-year college degree? *
Do you have a documented disability? *
Number of Sinclair Credit Hours Completed *
Are you receiving Financial Aid? *
Financial Aid -Did you qualify for/receive a Pell Grant? *
RECORDS RELEASE -STUDENT SIGN HERE (use mousepad to sign) *
Signature Type: Simple    Start Over
Click here to start signing.
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Signature: (Type in your full name)
I agree to the terms included.
STUDENT UNDER AGE 24- PARENT MUST ALSO SIGN HERE (use mousepad to sign)
Signature Type: Simple    Start Over
Click here to start signing.
  • Pencil
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Signature: (Type in your full name)
I agree to the terms included.
Terms of Submission: By submitting this application, you acknowledge that all of the information entered is correct and accurate to the best of your knowledge.  Please note: We may follow-up with you for additional information/documentation for processing.