Thank you for your interest in our Student Support Services Veterans (SERVE) program!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at (352) 381-7191.
Section One: Student Information:
Last Name: *
First Name: *
Middle Name:
Date of Birth: *
Santa Fe College School ID# *
Gender *
Address: *
Address 2:
City: *
State: *
Zip Code: *
Home Phone *
Cell Phone Number: *
Email Address: *
May we send occasional TEXT MESSAGES with program information to you cell phone number? *
Racial/Ethnic Background

Per U.S. Department of Education reporting requirements, TRIO Student Support Services must collect and report gender, ethnicity, and race information for each program participant with only the responses provided below. 

Please select all that apply.
Ethnicity: Hispanic or Latino*
Race: American Indian or Alaskan Native*
Race, Asian*
Race, Black or African American*
Race: Hawaiian or other Native to Pacific Island*
Race: White/Caucasian*
Academic Information:
Highest Level of Education *
Do you have a previous degree from another institution?
What is your current major? *
What is your current degree track? *
Credit hours completed *
My academic goal includes earning a bachelor's degree *
I plan to transfer to a 4-year college/university. *
Current GPA: *
Section Two: Eligibility Information

Funding is provided by the US Department of Education and requires specific documentation of household income level and educational background for enrollment into the Student Support Services Program.  The information is protected by the Family Rights and Privacy Act and will be held in strict confidence.  The information is used to determine if the student is eligible to participate in the SSS SERVE Program.
Are you a U.S. citizen? *
Eligible to receive Federal student aid *
US Permanent Resident *
I am service connected *
Do you have a documented physical or learning disability? *
Are you registered, or do you plan to register, with SF's Disability Resource Center? *
What is the highest level of education completed by your biological/adoptive parent 1? *
What is the highest level of education completed by your biological/adoptive parent 2? *
Branch of service *
Discharge Type *
National Guard/Reservist with active duty time. Orders required to be eligible. *
VA Chapter Benefits *
Family Income Range: *
How many people in your family? *
Did you file a 2023 tax return? *
What was your taxable income in 2023, as shown on tax form 1040, line 15? *
If you filed a 2023 tax return you MUST enter a taxable income amount, or the application will not be processed.

I acknowledge that all of the information included in the  Income Verification section is correct  to the best of my knowledge.
Section Three: Student Support 

In which of the following areas would you like to receive services to support you academically? Please check all that apply.
Academic Support/Tutoring*
I am undecided on my college major. *
I have significant responsibilities (children, siblings, spouse, etc.) *
I have significant financial responsibilities beyond the cost of college. *
I plan to work 20+ hours per week while attending school. *
Sometimes I feel like I do not belong. *
I have been out of school for over five years. *
I would like help creating study habits. *
I am afraid of failing a college course. *
I would like grant aid.*
English is not my 1st language.*
Statement of Interest
I am seeking an A.A./A.S Degree at Santa Fe College.
Why are you interested in becoming a Veterans Student Support Services participant, and how can we help you reach your goals? *

Section Four: Student Agreement

If I am accepted into Student Support Services, I agree to the following:

·       I will meet with my SSS Academic Coach at least THREE times per semester.

·       I will develop an Individual Student Success Plan with my SSS Academic Coach each semester.

·       I will take ownership of academic success and personal growth.

·       I will be proactive in seeking help.

·       I will attend at least one SSS workshop or academic-enhancement event each semester.

·       I will attend required class sessions.

·       I will maintain good academic standing each term.

·       I understand that to be considered an SSS participant and to be considered for grant aid, I must participate in the program as outline above.
Do you agree to the terms listed above? *
I understand that to be eligible for Student Aid I must abide by the Student Agreement, and that students in their first or second year of college will receive priority. *

Photo Release Statement:

I, the undersigned, grant Santa Fe College ("SF") and its affiliates the unrestricted, perpetual right to use, modify, and distribute any images of me (photos, videos, etc.) in any medium for promotional, marketing, or other purposes, without compensation or further permission. I consent to these uses and understand I will not be compensated.

Terms of Submission:

I acknowledge that my likeness may appear in materials available to the SF community and the public, and SF is not obligated to use the images. I release SF and its affiliates from any legal claims related to the use of these images, including those for defamation, privacy, or publicity violations.

I confirm that I am 18 years or older and agree to the terms above.

I certify that the information I have provided on this application is, to the best of my knowledge, complete and correct.  Furthermore, I understand that by applying for the TRIO SSS Program, I authorize program staff to obtain records or data pertinent to my participation from other sources, and to release information, as required by law or the terms of the SSS grant, to the grant funding agency of the U.S. government.

Sign and Submit:

The SSS program staff has my permission to communicate verbally and other wise with staff, faculty, and/or off campus professionals on my behalf. 

By signing below, I agree that this signature will be the electronic representation of my signature for all purposes when I use them on documents, including legally binding contracts; the same as a handwritten signature. 

**NOTE** If you prefer to not sign this document electronically, you may contact Terry Coker, to receive it in paper form. 

Be sure to click "Sign and Submit Signature" and click the "I agree to the terms included" check box before submitting the application. 
Please provide your e-signature below: *
Please select a signature verification type.
I agree to the terms included.

Commitment to Equal Access and Equal Opportunity
Santa Fe College (SF) is committed to maintaining a work and educational environment that embraces diversity and where no member of the college community is excluded from participation in, denied the benefits of, or subject to discrimination in any college program or activity based on: their race, ethnicity, national origin, color, religion, age, disability, sex, pregnancy status, gender identity, sexual orientation, marital status, genetic information, political opinions or affiliations, or veteran status. This commitment applies to employees, volunteers, students, and, to the extent possible, to third parties, applicants for admission, applicants for employment, and the general public.

Inquiries regarding non-discrimination policies or concerns about discrimination or harassment, including concerns about sexual harassment or sexual violence under Title IX, should be directed to SF's Equal Opportunity Officer and Title IX Coordinator, 3000 NW 83rd Street, R-Annex, Room 113, Gainesville, Florida 32606, 352-395-5950, equity.officer@sfcollege.edu.

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Updated for the 2024-2025 school year. Santa Fe College Student Support Services (SSS) and access to this document is made available through a 100% federally funded Department of Education grant totaling $272,364 per year. These services are provided at no cost to students in an effort to ensure a successful post-secondary experience.