Northeastern Oklahoma A&M College
Student Support Services
200 I St NE
Miami, Oklahoma 74354

Thank you for your interest in Student Support Services! 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 Donni at 918.540.6351.

General Information:
First Name: *
Middle Name (if none, put n/a)
Last Name: *
NEO Student ID Number: *
Date of Birth: *
Gender
Marital Status
Live On Campus or Off Campus
Permanent Address *
Permanent City *
Permanent State *
Permanent Zip *
NEO Email & Personal Email Address: *
Cell Phone Number *
Have you participated in a TRIO program before? (Talent Search, Gear Up, Upward Bound or Other) *
Where or from whom did you hear about this program? *

Ethnicity:

Race: (Choose all that apply to you):
Are you of Hispanic descent? *
American Indian/Alaskan Native *
Asian *
Black or African American *
Hawaiian/Native to Pacific Island *
White *
Eligibility:
Are you a U.S. Citizen or permanent resident? *
Has either parent completed a four year bachelor's degree, with whom you grew up, prior to the age of 18? *
Do you have a documented disability? *
Are you registered with the Office of Disability Services at NEO?

Educational Information:
Have you submitted your FAFSA application? *
Based on your FAFSA status, are you a dependent or independent student? *
Have you received your high school diploma or GED? *
Diploma Date (MM/YYYY)
Attended college before/earned college credit? *
Ever been on academic/financial aid probation or suspension? *
All online student? *
Do you have a college degree? *
Who is your Advisor? *
Intended Major/Career *
What is your educational goal?
Associate's Degree
Transfer to a university after NEO
Transfer University Name:

 

Income Verification:

As a federally funded TRIO program, Student Support Services is required to provide documentation of a Student's eligibility for the program to the U.S. Department of Education and implement the TRIO Regulations that state two-thirds of the students served must meet federal low-income guidelines. 

All applicants must complete this section whether or not you believe you qualify as low-income. Verification requirements for TRIO vary depending on whether students are independent or dependent.

To determine whether you are a DEPENDENT or an INDEPENDENT student, please check all that apply to you:
You are at least 24 years old by December 31st of last year
Are a veteran of the U.S. Armed Forces
Are currently married
Are an orphan or a ward of the court, or were you a ward of the court until age 18
Have any legal dependents (other than a spouse), such as children or parents who get more than 1/2 their support from you
Are homeless or self-supporting or at risk of being homeless

 

If you checked NONE OF THE ABOVE, you are considered DEPENDENT. Please upload one of the following:

  • A signed copy of your Parent(s) or guardian(s) most recent Federal Income Tax Return

OR

  • Provide a parent/guardian's name and e-mail address below. By providing their e-mail address, you are giving SSS consent to contact to request financial documentation and provide e-signature as needed. 

OR

  • A document with the statement: "I certify that my parent's TAXABLE INCOME from all sources in the previous tax year was $_________ with a family size of ____ (include yourself, parents and their dependents). 

By signing this document, I attest under penalty of perjury that the above statement is true and correct." signed/dated by you AND your parent. (The Taxable Income Information can be found on the IRS 1040 form line 15.) Photos are acceptable.
Parent/Guardian's Name:
Parent/Guardian's E-mail:
Upload Documents Here

If you or your parent/guardian(s) did not file taxes or you have questions concerning the income verification section, please submit your application and contact our office at 918.540.6009.

If you checked ANY OF THE ABOVE, you are considered INDEPENDENT. Please upload one of the following:

  • A signed copy of last year's Federal Income Tax Return

OR

  • A document with the statement: "I certify that my TAXABLE INCOME from all sources in the previous tax year was $_________ with a family size of ____ (include yourself, spouse, and dependents). By signing this document, I attest under penalty of perjury that the above statement is true and correct." signed/dated by you. (The Taxable Income Information can be found on the IRS 1040 form line 15.) Photos are acceptable.

OR

  • If no financial document is attached, you will be sent an E-Sign document to your NEO e-mail. You will need your taxable income and # of dependents.

 
Upload Income Verification document(s) here:
Need for Services:
What do you see as your biggest challenge(s) or potential obstacle(s) this semester/year? *
What specifically would you expect our office to assist you with in order for you to achieve your goals? *

Services Available:

Please check all SSS program services that you are interested in:

Academic
Locating College Resources
Job searching/Resume Building/Interviewing
Tutoring assistance
Understanding learning style
Selecting courses/degree planning
College level course work prep
Exploring careers/selecting a major
Internships or mentoring
Leadership development

 Financial
FAFSA/Student Loan Assistance
Accepting financial aid
Creating personal budgets
Understanding my credit score
Finding scholarships
Reviewing my NEO bill/ aid award
Tribal Resources

 Technology
Have reliable access to internet
Have reliable computer/tablet
Need help navigating Canvas/Course Work

 Transferring to a 4-year university
Help researching universities
Application assistance/ Fee Waivers
Interested in Campus Tours

Community Service Opportunities/ Cultural Events
Community Service/Service-learning projects
Attending cultural events with our group, such as museums, live productions, etc.
NEO Student Organizations (Programs, Clubs, etc.)
We’re personalizing our TRIO SSS student files, and we’d love to include a photo of you to help us get to know you better and recognize you when we see you around! Please take the time to upload a recent photo of you below to complete your file.
Profile Picture Upload:

I understand that the SSS program reserves the right to admit or deny any student enrollment. Completion of the application does not guarantee acceptance into the program. I certify the information given on this application is true and correct to the best of my knowledge. I hereby authorize TRIO Student Support Services to obtain my records or data pertinent to my participation in the program from College Admissions, Accessibility Services (if applicable), Financial Aid, Registrar, and the National Student Clearinghouse. I also authorize the college or professional associated with it to access and release data for purposes of my academic success or TRIO project audit or evaluation. Photographs taken by my participation in TRIO activities may be used in TRIO publications. I understand this authorization may be revoked by me at any time through written or verbal communication.

Notice of Non-discrimination: Northeastern Oklahoma A&M College Student Support Services is 100% federally funded at a cost of $313,016 and does not discriminate on the basis of age, race, color, religion, sex, sexual orientation, genetic information, gender identity or expression, national origin, disability, protected veteran status, or other protected category, in any of its policies, practices, or procedures. This provision includes, but is not limited to, admissions, employment, financial aid, and educational services.

To electronically sign this application, provide your signature using one of the available options. Note, "Simple Sign" may provide a brief delay before the signature box comes up on the screen.
Sign and Submit:
Applicant's Signature *
Please select a signature verification type.