Student Needs Assessment & Update Form

Students, please carefully complete all required fields, double-checking what you have typed before submitting.  It is important that we have correct information for our records so we are able to get in touch with you and assist you.  We want to be able to provide you with the best pre-college programming, and having up-to-date contact information is the first step to doing this.  If there is a change in your information throughout the year, please complete a new form.

* denotes a required field

Student Info





What can TRIO ETS help you with?

Please choose at least 2 services for your age group.

Middle School Services *











High School Services *


















Your advisor will follow up with you about how we can connect you with resources and information to meet the needs you specified, but it will ultimately be up to you to stay in touch and reach out when you require assistance.


Parent/Guardian Info


Continuation in the Program


Please read the statement below, and mark yes if you agree.  If you mark no, your advisor will reach out to discuss with you whether you're able to participate enough to keep your membership in the program.


Human Verification *



Page last modified September 26, 2022