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SSS Online Application

Student Support Services Eligibility Form

Form Instructions: Please complete and submit this form to Student Support Services (SSS). One of the SSS staff members will then contact you, or call us at (928) 776-2084.

All fields are required.

Prescott Campus   Verde Valley Campus   Online Campus

Which services interest you? Check all that apply:
  Individual tutoring
  Additional grant aid & scholarship help
  Extended advising time and career planning

Eligibility Requirement Details. Check all that apply:
You are seeking a degree and enrolled in at least 9 credits
Neither of your parents has a bachelor's degree
You are the recipient of a Pell Grant or meet financial aid guidelines
You have a documented physical or learning disability


Please take a moment to check over your entries. When you are satisfied with your answers press the submit button. Thank you.

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