Application for SSSV

The Student Support Services Veterans program is designed to help veteran students stay in college, graduate, and / or transfer to four year colleges or universities.

Citizenship/Residency Verification

Veteran Eligibility Verification

*You will be required to submit a Member 4 copy of your DD214.

First Generation Verification

Income Verification

Academic Information

If you have received an associate or bachelor's degree, you are ineligible for the SSS program.

Prior TRiO Participants


Release Information

This application is a supplement to the required Piedmont Technical College application and in no way replaces the Piedmont Technical College application.

I certify that the information in this application is complete and accurate. It is also my understanding that the TRiO SSSV staff may exchange academic and financial information with PTC personnel to insure my academic success.

I understand that I am responsible for adhering to all policies and procedures listed in the current Piedmont Technical College Catalog and Student Handbook.

I authorize TRiO Student Support Services Veterans to gather information concerning my academic progress (standardized test scores, grade point average, earned credits, transcripts, demographic and ethnicity information) and financial status prior to my participation in TRiO SSSV. I understand this information is used to assist in the determination of my eligibility for Student Support Services Veterans, and it will be strictly confidential. I grant permission for TRiO SSSV to gather information for follow-up whenever appropriate, including transfer and progress at four-year institutions. I am aware that my eligibility and financial status will be reported to the U.S Department of Education in accordance with the grant funding regulations. I certify that the information provided on the application is true and complete to the best of my knowledge. I also agree to provide documentation upon request to verify the information reported.

I am aware that TRiO SSSV is a 100% Federally Funded program which provides academic support to those who qualify. Receipt of this application does not guarantee acceptance into the program.

I am also aware that the personal information that is provided to the TRiO SSSV program will be protected under the Family Education Rights and Privacy Act of 1974. No one will have access to the information unless they work with or for the TRiO SSSV program, or are specifically authorized by the student in question to see the information.

**For Office Use Only**

This space is to be completed upon acceptance to the program.