Applying to SSS

APPLICATION INSTRUCTIONS

Please fill out all answers including the short essay question before submitting your application. It is not possible to save your application before submitting, so please be sure you have the information to answer each question before you begin. Please note: we often have more applications than space available. Our program serves a maximum of 160 students, so your name may be placed on a waiting list if the program has reached capacity.

SSS Participant Application & FTSP Enrollment Form

The information you are asked to provide is required by the U.S. Department of Education (DOE) for reporting purposes only. This demographic information will not impact your application for admission to SSS. In addition, the descriptions of race/ethnicity below reflect the DOE's Annual Performance Report race/ethnicity descriptions.

* Indicates required field

First and Last Name *

First

Last

Personal Email *

Mailing Address *

City *

State *

ZIP *

Student ID Number *

Cellphone *

Choose One *

Male Female

Are you a citizen or national of the United States or do you meet the residency requirements for Federal student financial assistance? *

Yes No

Race (please select one or more that best applies to you.) *

Do you identify as Hispanic/Latino? *

Yes No

Birthday-Month *

Birthday-Day *

Birthday-Year *

Did either of your parents/guardians graduate with a four-year college degree? (Note: this is based on the parent(s)/guardian(s) with whom you reside) *

Yes No I don't know I am an independent student

Are You an Independent Student? *

Yes No

High School Name *

High School City *

High School State *

Prospective Major at Siena Heights *

Do you plan on staying at Siena Heights until you graduate? *

Yes No

Are you thinking of going on to graduate school? *

Yes No Unsure at this time

Do you have a documented disability? *

Yes No I don't know, but would like to discuss this with someone privately.

If you do have a documented disability, is this on file with the Siena Heights Office of Accessibility? *

Yes No Does not apply to me

Which other campus communities will you be involved with? (e.g. Athlete, Band, Honors, Theatre, etc) *

Will you be living on campus or commuting? *

On campus resident Commuting

Please include a short essay to answer the following questions.

(1) Why are you applying for SSS? (2) Why do you want to complete a college education? (3) What are two goals that you hope to achieve after graduation from Siena Heights University? *

Freshman Transition Scholars Program (FTSP) Enrollment

The Freshman Transition Scholars Program is a summer program designed to prepare students for college-level work and bridge a successful transition from high school to Siena Heights University. Due to the Covid-19 pandemic and Siena Height University’s decision to keep campus closed for the summer, Student Support Services has cancelled the summer 2020 Freshman Transition Scholars Program.

Despite the cancellation of our summer programming, we are committed to providing you with a supportive transition into college. This decision will not impact the overall program services provided by the Student Support Services program. We will continue to offer academic tutoring, advising/course selection, financial literacy education, workshops, cultural events, and other forms of support throughout the academic year. In addition, each incoming freshman student will be assigned a peer mentor and a professional SSS Success Coach to receive holistic academic support and guidance for the 2020-21 academic year.

Authorization Statement: I understand that information on this application will be used by the SSS Staff to assist in developing my academic, personal, or other relevant needs. I authorize the Student Support Services program staff to obtain any and all information and documentation necessary for processing and ongoing evaluation of these needs in pursuit of my degree at Siena Heights University. I understand that not meeting program expectations may result in the suspension of program privileges and/or termination from the SSS program. I give my consent for Student Support Services, and by extension Siena Heights University, to use my photograph and likeness for marketing and promotional publications, including its website.

I certify that any information provided is accurate and true to the best of my knowledge. I acknowledge that I have read and understand the Authorization Statement above. *

Yes, I Agree

Please print the Income Verification form, complete and sign. You can scan and upload the completed form below. Electronic signatures will not be accepted.

Upload File *

Max file size: 20MB

Submit Your Application!