TRIO SSS STEM Income Documentation Form:

Dependent Students

TRIO Student Support Services STEM is a federally funded program at WSU that provides opportunities for academic development, financial assistance, and encourages students pursuing a bachelor's degree.

For all federal TRIO programs, income is a factor in determining eligibility. Please indicate your family size (including yourself) and estimated household taxable income below. If you have any questions regarding this form, please call 316-978-3139 or email sss-stem@wichita.edu. 

Dependent Student:  You are considered a dependent students if you report parental income on your FAFSA. Most students under the age of 24 who are unmarried and do not have children are dependent. 

Note: This form must be completed and signed by a parent/guardian. The link to this form may be easily copied and sent to a parent/guardian so they can complete it. 
Student Name
Parent Name
Family Size
Estimated Annual Household TAXABLE income:

I certify that the above information is true and correct to the best of my knowledge. 

Parent Signature:
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.
Be sure to click "Sign and Submit" on signature line before submitting the form. Thank you!