Thank you for your reaching out to the TRIO Educational Opportunity Center of Ada and Canyon County! 

Please complete this application as thoroughly as possible.  You cannot save and restart this application. If you have any questions, please call us at 208-364-9925.


PARTICIPANT INFORMATION
Legal First Name *
Middle Name (optional)
Legal Last Name *
Preferred Name (optional)
Address *
City *
State *
ZIP Code *
Phone Number *
If you do NOT have a phone number, please type "000-000-0000"
EOC may use text messaging to confirm appointments. If you DO NOT want to receive text messages from EOC, check here.
Email *
If you do NOT have an email, please type "none"
EOC may use email to share information and educational resources with its participants. If you DO NOT want to receive emails from EOC, check here.
Date of Birth *
Current Age *
Gender *
Current Marital Status *
Citizenship *
Are you proficient in English? *
What is your ethnicity (check one)
What is your race? (check one)
Do you have a disability? *
I am a veteran
Is someone in your family active duty? *
Do you have dependent children? *
Do you have other dependents? *
Total number of dependents? *

HOUSEHOLD FINANCIAL INFORMATION

*If you are under 24 and considered a dependent for FAFSA, this section should be completed according to the financial and household information of a parent(s) or guardian(s). If you do not know this information, an EOC advisor will follow up with you for your parent/guardian financial information. 

Did you file a U.S Tax Return in this past year?
How did you file your taxes?
How many people are in your household (INCLUDING YOURSELF) that you support at least 50%? *
What is your family's TAXABLE income? *
** Taxable income is your gross income, minus any exemptions or deductions. Your 2020 taxable income can be found on IRS form 1040, line 15. If you need assistance calculating your taxable income, speak with EOC staff.

EDUCATIONAL EXPERIENCE
What is your current level of education? *
Have you filled out the FAFSA for the academic year you are interested in enrolling? *
If yes, when did you complete the FAFSA?
Have you filled out a college application for the year you are interested in enrolling? *
If yes, when did you complete a college application, and to where did you apply?
Do you have student loans that are in default? *
Did either of your parents (birth or adopted) GRADUATE from a four-year college? *

EOC SERVICES

EOC focuses on the following educational services:

  • Academic Advising
  • College Admissions Information
  • Career Advising
  • Postsecondary Opportunities
  • Financial Aid Information
  • GED Support/Testing Support
  • Other
Of the above services, what do you need support in? *
How did you hear about us?

PARTICIPANT SIGNATURE

Safety Policy:  It is the policy of the Idaho Educational Opportunity Center to serve no participant who is under the influence of drugs or alcohol, or is perceived by staff as acting in a threatening or inappropriate manner.   Subsequent appointments will not be made for an individual who fails to comply with this policy. 

Information Release: All information is confidential, but I understand that by signing below I am agreeing to give permission to release information where it is deemed necessary to discuss with and to relay academic and financial issues to other professionals (teachers, college officials, advisors, vocational rehabilitation counselors, tutors, etc.) as needed to ensure my continued success as a student.   

For dependent students under the age of 18, EOC requires a parent/guardian signature to authorize the information on this application. An EOC staff member will assist you with this when appropriate.

***I understand that by checking the box and signing below, this acts as my electronic signature, indicating that the information I have provided above is accurate and verifiable to the best of my knowledge.***

Sign Here *
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.