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Please submit this prior participant form so the RI Educational Opportunity Center can help you achieve your goals!

Complete this application as thoroughly as possible. This form will take a few minutes to complete. Please note that you will not be able to save a partially completed application. If you are unable to complete the form, you will need to re-enter your information.

If you have any questions, contact the Coordinator / Counselor who is assisting you or call 401.455.6028.

Personal Information
First Name *
Last Name *
Preferred Name
Coordinator / Counselor *
(Choose the EOC counselor who is helping you.)
What is your Date of Birth? *
Your Age *
Street Address *
City *
State *
Zip Code *
Cell Phone Number *
Email Address *
Are you, your spouse, or parent on active military duty?

(If not, please leave the box empty.)

Education

Answer the following questions about your previous education.

If any don't apply to you, please leave them blank.
Do you have a high school diploma or GED certificate? *
If you have a high school diploma, which high school did you graduate from?
If you have a GED certificate, where did you complete it?
Are you currently enrolled in high school or a GED program? *
If you are currently enrolled in high school, where are you enrolled?
If you are currently in a GED program, where are you enrolled?
Have you taken college courses? *
If so, where did you attend?
Have you completed a college program? *

If you are coming to EOC to do a FAFSA your income information may be necessary. You can submit your income information here.

If you were required to provide your parents information and income on your FAFSA then it would be helpful to provide the documentation for their income as well.

All information submitted is confidential and will not affect any aid you and your family may be receiving at this time.
Income Documentation (Optional)
Other Income Documentation (Optional)

Other Questions

You're almost done!

 

How can the RI Educational Opportunity Center help you?

  (check all that apply)
Academic Advising
Career Counseling
College Admissions Application
College Info / Transfer Information
Defaulted Student Loan Info
ESL Information
Financial Aid Application (FAFSA, Verification)
Financial Literacy Info
FSA ID Assistance
GED Information / Enroll in GED Program
Other Financial Aid Assistance
Scholarship Information / Applications
Training Programs Info
Other Ways we can Help
Do you know your FSA (Federal Student Aid) user name and password? *

 

I certify that the information provided is accurate. I understand that it may be used for statistical and tracking purposes. I authorize RIEOC to maintain a file relevant to my educational planning, enrollment, attendance and financial aid status. 

RIEOC has further permission to collect additional information to provide further services. I hereby authorize any agency or educational institution to release my academic/financial aid or other pertinent information as requested by RIEOC.

(Sign the pad, type in your full name, check "I agree" then click on "Sign and Submit Signature")
Your Signature *
Signature Type: Simple    Start Over
Click here to start signing.
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Signature: (Type in your full name)
I agree to the terms included.