Educational Opportunity Center

EOC - TRIO

Thank you for your interest in our EOC 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, or would like to schedule an -appointment before applying, please email eoc@nnmc.edu or call (505) 747-2183.


NNMC Educational Opportunity Center (EOC) is a TRIO Program funded 100% through a grant from the US Department of Education at $232,050 annually under the Higher Education Act of 1965 Title IV, Part A, Subpart 2.

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General Information
First Name
Last Name
Date of Birth
Age
Gender
Marital Status
Social Security Number
Address
Address 2
City
State
Zip
Email
Cell Phone
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Additional Information
Ethnicity
If applicable, select Tribal affiliation
If applicable, select Miliatary affiliation
Check box if you are proficient in English
Citizenship

 

Special Circumstances (Check all that apply)
Documented Disability
Homeless or at risk of being homeless
Foster youth or Ward of Court
Formerly Incarcerated
Currently on Probation/Parole
Have a degree from other country
Emancipated minor
Have children, or dependents, who live with me and receive over half their support from me
Under 24 years old and married
Other:
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Household Information
Do either of your parents have a four-year college degree (Bachelor's Degree)?
Number of people in household (including yourself)
Household income

  

Income Includes (check all that apply)
Personal Employment Wages
Parent(s) or Other(s) Employment Wages
TANF
EBT/WIC/Food Stamps
Social Security (SSI)
Disability Insurance
Other Income
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Education Information
Current Education Level
Check box if you've ever dropped out of high school
Check box if you've ever dropped out of college
Check box if you have earned a high school diploma or equivalent (GED or HiSET)
CURRENT School/Program you are attending
Have you ever participated in another federal student support program (e.g. Upward Bound, Gear Up, Student Support Services)?
If yes, which program?
Please tell us about yourself. You may include any information about your past education experience, your future educational and career goals, or topics that you want some assistance with.
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Services Received

Please indicate which services you have received from EOC at this time.
Please select the EOC staff member who you met with:
College Admissions or financial aid workshop
Individual advisement (college access, career readiness, financial aid, financial literacy)
Assistance completing a FAFSA
Assistance with College Admissions/Enrollment
Other:
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Sign/Submit

Participant/Student [& Parent/Legal Guardian for dependent students/participants] Please Read and Sign/Submit

By submitting this form, we certify, to the best of our knowledge, that the information given on this application is correct, including our respective household income and first-generation college status of the student/participant. Moreover, we give permission to NNMC-EOC staff to assist me (student/participant) in reaching my academic goals, which may include obtaining a GED/high school diploma and/or applying for the college/university of my choice as well as applying for financial aid (FAFSA) and scholarships. Our signatures below further grants permission to the NNMC-EOC Program to access any of my (student/participant's or child's) records, such as Test Scores, Transcripts, Enrollment Verification and/or information related to Financial Aid Eligibility. All information obtained by the NNMC-EOC program will only be used for the verification of my educational status and eligibility and will remain confidential.