Thank you for applying to TRIO/ Student Support Services program! 

Please complete this application and submit taxes. We require you attach the first two (2) pages of most recent federal IRS tax document. If you didn't file taxes we will email you non filer form to complete and return to process the application. If you are unable to upload federal taxes, you may email them to Program Director at ksimms@unm.edu

We have a paper application in office if you prefer.

Questions answered by email, phone call or stop by our office in Gurley Hall 1139.

Program Director, Kimimila Simms at ksimms@unm.edu or call 505-863-7751
Section I: Contact & Demographic Information
Last Name *
First Name *
Preferred Name
Pronouns
Date of Birth *
UNM email address *
UNM Banner ID *
Cell Phone Number *
Emergency Phone Number *
Gender *
Ethnicity *
Section II: Demographic & Academic Information
Academic Need *
Has your parent/guardian 1 received/earned a 4-year college degree? *
Has your parent/guardian 2 received/earned a 4-year college degree? *
Do you have a documented disability that will require accommdations? *
Do you plan to obtain a Bachelor's degree? *
What is the reason for applying to TRIO/SSS? *
Section III: Family Information
Have you previously participated in a Federal TRIO Program? *
Did you or if you are an independent student, file Federal IRS Taxes? *
Most recent IRS Federal Taxes, 1040, 1040A, 1040ez
Sign and Submit:

Terms and Participant Commitment:

I attest that all information on this application is true. I authorize the release of the student applicant's academic records to the UNM Gallup TRIO/SSS program. The information in these records is used only to asses the student applicant's eligibility, and the need for services, determine student applicant's educational progress, evaluate program effectiveness and fulfill reporting requirements.

I also understand that if selected to participate in the SSS program, I will:

  • participate in tutoring and mentoring sessions
  • attend at least two (2) TRIO/SSS workshops per semester
  • attend at least one (1) TRIO/SSS event per semester
  • meet with TRIO/SSS academic advisor per semester

I will participate in the UNM Gallup TRIO/SSS services which are designed to help me reach my educational goals for degree attainment. 
Applicant Signature *
Please select a signature verification type.

Who referred you to TRIO/SSS? They will get credit for referring you to our program!
Referred by *