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I give my permission to use my likeness for promotional, recruitment and educational purposes. ) /Pg 9 0 R /K [21] >> endobj 218 0 obj << /Type /StructElem /S /P /P 146 0 R /E (\(This amount can be foundon tax forms \(1040EZ-line 6, 1040A-line 26, or 1040-line 43\)) /Pg 9 0 R /K [22] >> endobj 219 0 obj << /Type /StructElem /S /H5 /P 146 0 R /T (______$0-18,210 ) /E (______$0-18,210 ) /Pg 9 0 R /K [23] >> endobj 220 0 obj << /Type /StructElem /S /H5 /P 146 0 R /T (______$18,210-24,690 ) /E (______$18,210-24,690 ) /Pg 9 0 R /K [24] >> endobj 221 0 obj << /Type /StructElem /S /H5 /P 146 0 R /T (______. $24,691-31,170 ) /E (______. $24,691-31,170 ) /Pg 9 0 R /K [25] >> endobj 222 0 obj << /Type /StructElem /S /H5 /P 146 0 R /T (______ $30,171-37,650 ______$37,651-44,130 ) /E (______ $30,171-37,650 ______$37,651-44,130 ) /Pg 9 0 R /K [26] >> endobj 223 0 obj << /Type /StructElem /S /H5 /P 146 0 R /T (______ $44,131-50,610 ) /E (______ $44,131-50,610 ) /Pg 9 0 R /K [27] >> endobj 224 0 obj 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/StructElem /S /H5 /P 146 0 R /T (Director Signature: _________________________________________________________ Date____________________ ) /E (Director Signature: _________________________________________________________ Date____________________ ) /Pg 9 0 R /K [35] >> endobj 232 0 obj << /Type /StructElem /S /H2 /P 146 0 R /T (Please return by email to TRiOSSS@colorado.edu ) /E (Please return by email to TRiOSSS@colorado.edu ) /Pg 9 0 R /K [36] >> endobj 233 0 obj << /Type /StructElem /S /Figure /P 146 0 R /A [640 0 R 0] /Pg 9 0 R /K [37] >> endobj 234 0 obj << /Type /StructElem /S /Figure /P 147 0 R /A [641 0 R 0] /Pg 10 0 R /K [0] >> endobj 235 0 obj << /Type /StructElem /S /Figure /P 147 0 R /A [642 0 R 0] /Pg 10 0 R /K [1] >> endobj 236 0 obj << /Type /StructElem /S /Figure /P 147 0 R /A [643 0 R 0] /Pg 10 0 R /K [2] >> endobj 237 0 obj << /Type /StructElem /S /Figure /P 147 0 R /A [644 0 R 0] /Pg 10 0 R /K [3] >> endobj 238 0 obj << /Type /StructElem /S /Figure /P 147 0 R /A [645 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All of the given answer is correct and true to the best of my knowledge.) /Pg 10 0 R /K [22] >> endobj 257 0 obj << /Type /StructElem /S /P /P 147 0 R /E (Date ) /Pg 10 0 R /K [23] >> endobj 258 0 obj << /Type /StructElem /S /P /P 147 0 R /E (Date) /Pg 10 0 R /K [24] >> endobj 259 0 obj << /Type /StructElem /S /H4 /P 147 0 R /T (Parent/Guardian Signature \(if a dependant\)) /E (Parent/Guardian Signature \(if a dependant\)) /Pg 10 0 R /K [25] >> endobj 260 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T (Please return by email to TRiOSSS@colorado.edu ) /E (Please return by email to TRiOSSS@colorado.edu ) /Pg 10 0 R /K [26] >> endobj 261 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T (OPTION 1: Filed a Tax Return) /E (OPTION 1: Filed a Tax Return) /Pg 10 0 R /K [27] >> endobj 262 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T (OPTION 2: DID NOT File a Tax Return) /E (OPTION 2: DID NOT File a Tax Return) /Pg 10 0 R /K [28] >> endobj 263 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T (Income Verification: All applicants must complete this section, whether or not you believe you qualify as low-income) /E (Income Verification: All applicants must complete this section, whether or not you believe you qualify as low-income) /Pg 10 0 R /K [29] >> endobj 264 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T (Student Information:) /E (Student Information:) /Pg 10 0 R /K [30] >> endobj 265 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T <506172656E742F477561726469616E20496E666F726D6174696F6E2028446570656E64656E742053747564656E749073204F6E6C7929> /E <506172656E742F477561726469616E20496E666F726D6174696F6E2028446570656E64656E742053747564656E749073204F6E6C7929> /Pg 10 0 R /K [31] >> endobj 266 0 obj << /Type /StructElem /S /H3 /P 147 0 R /T (Please return by email to TRiOSSS@colorado.edu ) /E (Please return by email to TRiOSSS@colorado.edu ) /Pg 10 0 R /K [32] >> endobj 267 0 obj << /Type /StructElem /S /H2 /P 147 0 R /T (Please complete ONE option below that best suits you:) /E (Please complete ONE option below that best suits you:) /Pg 10 0 R /K [33] >> endobj 268 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [647 0 R 0] /Pg 11 0 R /K [0] >> endobj 269 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [648 0 R 0] /Pg 11 0 R /K [1] >> endobj 270 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [649 0 R 0] /Pg 11 0 R /K [2] >> endobj 271 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [650 0 R 0] /Pg 11 0 R /K [3] >> endobj 272 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [651 0 R 0] /Pg 11 0 R /K [4] >> endobj 273 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [652 0 R 0] /Pg 11 0 R /K [5] >> endobj 274 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [653 0 R 0] /Pg 11 0 R /K [6] >> endobj 275 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [654 0 R 0] /Pg 11 0 R /K [7] >> endobj 276 0 obj << /Type /StructElem /S /Figure /P 148 0 R /A [655 0 R 0] /Pg 11 0 R /K [8] >> endobj 277 0 obj << /Type /StructElem /S /H1 /P 148 0 R /T (鶹Ѱ - TRiO Student Support Services Academic Need Eligibility Verification) /E (鶹Ѱ - TRiO Student Support Services Academic Need Eligibility Verification) /Pg 11 0 R /K [9] >> endobj 278 0 obj << /Type /StructElem /S /H2 /P 148 0 R /T (First Name:________________________ Student ID#:________________________) /E (First Name:________________________ Student ID#:________________________) /Pg 11 0 R /K [10] >> endobj 279 0 obj << /Type /StructElem /S /H2 /P 148 0 R /T (Last Name:________________________) /E (Last Name:________________________) /Pg 11 0 R /K [11] >> endobj 280 0 obj << /Type /StructElem /S /H3 /P 148 0 R /T (\(5\) Academic Proficiency Tests) /E (\(5\) Academic Proficiency Tests) /Pg 11 0 R /K [12] >> endobj 281 0 obj << /Type /StructElem /S /P /P 148 0 R /E ( ) /Pg 11 0 R /K [13] >> endobj 282 0 obj << /Type /StructElem /S /H2 /P 148 0 R /T (Please return by email to TRiOSSS@colorado.edu ) /E (Please return by email to TRiOSSS@colorado.edu ) /Pg 11 0 R /K [14] >> endobj 283 0 obj << /Type /StructElem /S /H3 /P 148 0 R /T (\(6\). Low college grades \(below 2.9 semester or cumulative GPA\) \(7\) High School Equivalency \(or GED\) ) /E (\(6\). Low college grades \(below 2.9 semester or cumulative GPA\) \(7\) High School Equivalency \(or GED\) ) /Pg 11 0 R /K [15] >> endobj 284 0 obj << /Type /StructElem /S /H3 /P 148 0 R /T (x\(1\) Low High School grades \(reflected in a GPA below 3.8\)) /E (x\(1\) Low High School grades \(reflected in a GPA below 3.8\)) /Pg 11 0 R /K [16] >> endobj 285 0 obj << /Type /StructElem /S /H3 /P 148 0 R /T (Student GPA: _____________) /E (Student GPA: _____________) /Pg 11 0 R /K [17] >> endobj 286 0 obj << /Type /StructElem /S /H3 /P 148 0 R /T (High School attended:_________________________________________________) /E (High School attended:_________________________________________________) /Pg 11 0 R /K [18] >> endobj 287 0 obj << /Type /StructElem /S /H3 /P 148 0 R /T (\(2\). Low Performing High School or School District) /E (\(2\). 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Documentation enclosed: Y / N) /Pg 11 0 R /K [34] >> endobj 303 0 obj << /Type /StructElem /S /P /P 148 0 R /E (History of withdrawals and /or incompletes) /Pg 11 0 R /K [35] >> endobj 304 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Student commutes over 1 hour per day) /Pg 11 0 R /K [36] >> endobj 305 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Single parent without a support system) /Pg 11 0 R /K [37] >> endobj 306 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Welfare recipient or income well below poverty level ) /Pg 11 0 R /K [38] >> endobj 307 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Working 30 or more hours per week) /Pg 11 0 R /K [39] >> endobj 308 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Personal problems affecting academics) /Pg 11 0 R /K [40] >> endobj 309 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Student without a support system) /Pg 11 0 R /K [41] >> endobj 310 0 obj << /Type /StructElem /S /P /P 148 0 R /E (Student enrolled in ESL courses) /Pg 11 0 R /K [42] >> endobj 311 0 obj << /Type /StructElem /S /P /P 148 0 R /E (** SAT composite below 1180 which is a composite of math and critical reading only, math SAT below 620 constitutes need. 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