The TRIO Educational Opportunity Center is a free, U.S. Department of Education program aimed at connecting people to educational opportunities including high school/GED completion and college education/training. 
After completing this form, an EOC Educational Coordinator will reach out to you regarding your educational goals and next steps!
How did you hear about TRIO EOC (Educational Opportunity Center)? *
Target Agency *
CONTACT INFORMATION
Last Name *
First Name *
Middle Initial
Street Address *
Include house number and street name. If applicable, include apartment or lot number too.
City *
State *
Zip Code *
County *
Permanent Contact Phone *
Cell Phone
You will receive a text opt-in invitation from the EOC so that we may send important updates, deadlines, and service information via text.
Email *
If you are currently in transitional housing or are homeless, please provide contact information for someone close to you. (Include: Name, Phone # and/or Email)
Alternative Contact Information
PERSONAL INFORMATION
Do you have a documented disability?
We request disability information, however, disclosure of any disability is optional.
Are you enrolled with any disability services program?
If yes, please list services provided
Gender *
Ethnicity *
Race *

Definitions (as determined by the U.S. Department of Education)

Hispanic/Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin, regardless to race.
American Indian or Alaska Native: A person having origins in any of the original people of North and South American (including Central America ) and who maintains a tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asian, or the Indian subcontinent including, for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African-American: A person having origins in any of the Black racial groups of Africa.
Native Hawaiian or Other Pacific Islander: A person having any origin in any of the original peoples of Hawaii, Guam, Samoa, or Pacific Islands.
White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Independent Status *
Citizenship *
Social Security Number

Social Security Numbers are important identifiers when matching FAFSA applications to students' accounts, and when looking up status. Providing this information may help us find your information sooner.
Age *
Do you have a military connection? *
ELIGIBILITY
The Educational Opportunity Center is grant funded and prioritizes services for those with the highest need. The following information will help us determine best use of services and identify barriers commonly experienced by low-income and/or first-generation families.
Date of Birth *
Did either of your parents have a 4-year college degree by the time you turned 18? *

FOR APPLICANTS UNDER THE AGE OF 24: You are considered to be "dependent" unless you meet one of the Independent Status qualifiers above. Dependent students must have a parent verify the family size and income; please have a parent sign the Parental Consent Form.
What was your total household income last year? *
What is your household size? *

Dependents: include parents, other dependents, and yourself

Independents: include yourself, spouse, and your dependents
Which filing status did your household use for last year's taxes?
EDUCATIONAL GOALS
What is your current educational status? *
What is your current educational goal / interest? *

The primary goal of the Educational Opportunity Center is to provide information and support to adults looking at starting or continuing their education in college or trade school. Some of the support services we focus on are:

  • research on colleges and universities
  • career counseling and academic counseling
  • assistance with financial aid applications
  • assistance with admissions applications
  • assistance with GED/HiSET completion and referrals
  • help navigating any and all steps to getting enrolled in college.
How can the EOC help you? *
OTHER TRIO PROGRAMS
Are you currently in other TRIO Programs? *
If yes, please list the services provided by each TRIO program.
STATEMENT OF RELEASE OF INFORMATION AND CONFIDENTIALITY

I hereby consent to the release of my academic, FAFSA, and federal tax information to the EOC program at Lake Michigan College, effective for the first time that I am an active EOC participant receiving services. I agree to provide my social security number to the EOC program to obtain academically related documents and follow-up services needed.

  • I affirm that my reported income level listed in the ELEGIBILITY section of this application is accurate.
  • I understand that the EOC is a federally funded program. This application is subject to review by the Federal authorities. I will be held responsible for the certifications made by my signature.
  • I affirm all information provided on this application is true and accurate to the best of my knowledge.
Signature *
Please select a signature verification type.