Thank you for your interest in our Student Support Services program!  Please complete this application as thoroughly as possible.  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.  If you have any questions, please call our office at 651-779-3226.
Personal Data: All information will be held in strict confidence in compliance with the Family Educational Rights and Privacy Act
First Name: *
Last Name: *
Middle Name:
Date of Birth: *
Century Student ID #
Address: *
Address 2:
City: *
State: *
Zip Code: *
Cell Phone Number:
Home Phone
Email Address: *
What is your gender? *
Marital Status
Citizenship Status *
Are you Hispanic or Latino (regardless of race)? *
Ethnicity *
How's your academic standing?
Income Eligibility
Are you receiving financial aid?
For financial aid purposes, are you considered DEPENDENT (under 24, single, with no children is considered dependent) or INDEPENDENT? *
How many family members are in your household? *
Select the range that your 2021 family taxable income falls in *
List the names and ages of any children in your household
Parent Education  Indicate the highest level of education completed by your parents
Parent 1 *
Parent 2
If you were raised in a single-parent household prior to age 18 and that single parent did not receive a 4-year degree, check here.
Student Disability Information
Are you registered with or receiving disability services through Century’s Access Center? *
If yes, please identify your disability:
Student Educational History
Do you plan to receive a degree? If yes, what degree? *
Do you plan to transfer? *
Please list all other colleges and universities you have attended. Include dates and degree/diploma attained, if applicable:
Applicant's Personal Statement
Do you plan to be a full-time or part-time student? *
Briefly explain your educational and career goals. *
What help might you need to complete your goals? *
How can we help you complete your goals?  (check all that apply)
Time Management
Study Skills
Test Taking/Test Anxiety
Reading Comprehension
Organization
Note Taking
Math Skills
Understanding of Program Services and Participation Expectations

The purpose of Student Support Services (SSS) is to increase college retention, graduation, and transfer rates, and to help our participants overcome the obstacles they face to success in college. 

Program Services

As an academic support program, we provide a variety of services to help you be successful:

  • Academic Tutoring
    • Professional tutors are available in writing and math
    • Tutors can also assist you with general study skills
  • Academic Advising
    • We have two advisors that can assist you with degree/educational planning, transfer planning, and graduation
  • Financial Aid and Scholarship application assistance
  • Referrals to other resources

When we are unable to provide a specific service through SSS, we will refer you to another department.

Some common referrals include:

  • Basic Needs

    Students who need assistance with housing, transportation, food and other needs can work with the Resource and Support Center.  An SSS team member can help you connect with the Center.

  • Accommodations

    Accommodations are provided by the Access Center.  The Access Center is located right next door to our office.  We will be happy to walk you over and introduce you to the Access Center team so you may discuss your accommodations.

  • Tutoring for subjects outside of writing and Math

Century offers a variety of resources for academic tutoring.  Let us know what you need assistance with and we are happy to show you where to access the help you need.

Participation Expectations

To assist you in meeting your educational goals, participants are expected to have a minimum of two contacts with project staff per semester.

The contact(s) may include any combination of the following activities:

  • One-on-one tutoring
  • Workshops sponsored or promoted by SSS
  • Individualized study skills assistance
  • Individualized advising sessions to choose courses
  • College visits and transfer planning including assistance in choosing and applying for admission to four-year schools
  • Academic Alerts
  • Priority registration
  • Information about financial aid and assistance in completing the FAFSA
  • Financial and economic literacy workshops and information
  • Peer mentoring
  • Social and cultural events sponsored by SSS 
Sign and Submit:
Applicant Signature *
Please select a signature verification type.

Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.  You also acknowledge that you understand the services SSS TRIO provides and the minimum program contact requirements.