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 (580)-387-7260 or email us at

General Information:
Last Name: *
First Name: *
Middle Name:
School ID
Date of Birth: *
Gender *
Describe your primary reason for applying: *
Address: *
Address 2:
City: *
State: *
Zip Code: *
Home Phone
Cell Phone Number:
Can We Contact You Via Text Message
Email Address: *
SA Ethnicity *

Academic Info:
Current Grade Level: *
How many classes are you taking?
How's your academic standing?
Current GPA:
Which Services Do You Need?
Do You Have an Associates or Bachelors Degree?
What is your major/academic program?
What Are Your Academic Goals
What Are Your Academic Concerns

Personal Information:

Dependent Student-Under 24 years of age, single, or have no children OR children receiving less that half of their support from you.

Independent Student- Over age 24, married, a veteran or active military, have children who receive more than half of their support from you, OR an orphan or ward of court

Parents Educational Level:
How many people in your household at home?
Family Income Range:
Do You Have a Documented Disability?
Have You Completed Your FAFSA
Most Recent IRS 1040

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.

TRIO-SSS is a grant program funded by the United States Department of Education. All applications are accepted and weighted according to the MSC policy of providing educational opportunities without regard to race, color, age, national origin, religion, sex, or disability.