EOP Application 2025-2026 DRAFT FOR TIFFANY

Part 1 - Personal Information

First Name

Middle Name

Last Name

Gender

Pronouns

SUNY SCCC Student ID

Birthdate

Phone Number:

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Please choose from one of the following racial identities. You may select more than one:

Are you currently or have you ever been in foster care?

Yes

No

Are you a New York State resident?

Yes

No

If yes, how many long have you been a New York State resident? (Years and Months)

Are you a United States citizen?

Yes

No

If no, please provide your alien registration number:

Are you a veteran of the United States Armed Forces?

Yes

No

Are you a supporting a dependent?

Yes

No

Part 2 - Educational Information

Your intended degree program:

Name of high school you graduated from or expected to graduate from:

High School GPA:

High School graduation date (or expected graduation date):

Type of high school diploma:

Regents

Regents with advanced designation

Local

I did not graduate from high school

If not a high school graduate, did you receive a high school equivalency diploma?

Yes

No

If yes, provide the date you received your GED:

Part 3 - Educational Goal

Please identify your educational goal as an EOP student:

A.

I plan to complete a certificate program.

I plan to graduate with an Associate's degree.

B.

I plan to transfer to a four-year college or university and pursue a Bachelor's degree.

I am undecided at this time.

Part 4 - Summer Program Requirement

Being part of EOP requires commitment to the program and to yourself! As a way to help you better prepare for the rigors of higher education, you must attend a three (3) week summer program, (in person) which comprises a rich college experience full academics and interactive activities. The summer program is mandatory for all incoming students. Will you be able to attend the summer program?

Yes, I am excited to attend and get ready for my academic future!

No, I will not be able to attend the summer program. I understand I am automatically disqualified from joining EOP.

Part 5 - Income Document Requirements

**Your EOP Application is not complete until we receive your income documents

Income review is required to determine your eligibility into the EOP program. Please submit the following documentation to SUNY Schenectady EOP office.

A signed photocopy of your parents’ 2023 Federal Tax Return (1040, 1040A, 1040EZ) or an IRS return transcript.
A signed photocopy of your Federal Tax Return (1040, 1040A, 1040EZ) or an IRS tax return transcript.
If a Federal Tax Return was not filed, we will accept your W2 form, 1099, form or schedule C or CEZ.
The 2025-2026 Verification (Dependent or Independent) Worksheet must be completed (it is located on the SUNY SCCC website under Financial Aid/Verification).
A letter from Social Security Administration showing amount of family benefits received during 2023 or copies of all 1099 forms.
A letter from Social Services showing all family benefits received during 2023 or a copy of a current budget sheet.
Documentation of child support received in 2023.
Documentation of other non-taxable income received in 2023.

I hereby apply for services in the Education Opportunity Program (EOP) at SUNY Schenectady County Community College (SUNY SCCC). I certify that the information I have supplied on this form is true and accurate, to the best of my knowledge. I understand that EOP can share and receive information from my educational benefit with other SUNY SCCC offices, staff and faculty according to the Family Rights and Educational Privacy Act (FERPA) of 1974. This includes Federal Tax Information (FTI) from the Financial Aid Office to determine my eligibility for the EOP program. I understand that I may withdraw from this program at any time.

Yes

No

EOP Application 2025-2026 DRAFT FOR TIFFANY

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