{"id":144,"date":"2024-02-01T09:38:41","date_gmt":"2024-02-01T15:38:41","guid":{"rendered":"https:\/\/www.bemidjistate.edu\/services\/triosss\/?page_id=144"},"modified":"2025-02-10T14:57:22","modified_gmt":"2025-02-10T20:57:22","slug":"trio-sss-application-2","status":"publish","type":"page","link":"https:\/\/www.bemidjistate.edu\/services\/triosss\/trio-sss-application-2\/","title":{"rendered":"TRIO SSS Application"},"content":{"rendered":"<p><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_4' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">TRIO Student Support Services Application<\/h2>\n                            <p class='gform_description'>TRIO Support Services (SSS) is a federal program funded by a grant from the Department of Education. The purpose of TRIO-SSS is to support participants in achieving academic success. Students are accepted to the TRIO-SSS program based on academic need, eligibility criteria, and space availability. To determine your qualification for the program, please fill out the following application completely and accurately. The information you provide is strictly confidential. Completion of this application does not guarantee acceptance into TRIO-SSS.<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/services\/triosss\/wp-json\/wp\/v2\/pages\/144' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_4_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal Information<\/h3><div class='gsection_description' id='gfield_description_4_1'>Please enter your personal information.<\/div><\/div><div id=\"field_4_2\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_2'>BSU Student ID<\/label><div class='gfield_description' id='gfield_description_4_2'>Enter your 8-digit BSU student ID.<\/div><div class='ginput_container ginput_container_text'><input name='input_2' id='input_4_2' type='text' value='' class='medium' maxlength='8' aria-describedby=\"gfield_description_4_2\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_3'>\n                            \n                            <span id='input_4_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_4_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_4_3_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.4' id='input_4_3_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_3_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_4_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_4_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_4_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_40'>Preferred Name<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_4_40' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_4\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_4_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_4_4_1' id='input_4_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_4_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_4_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_4_4_2' id='input_4_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_4_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_4_4_3' id='input_4_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_4_4_4' value=''      aria-required='false'    \/>\n                                        <label for='input_4_4_4' id='input_4_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_4_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_4_4_5' id='input_4_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_4_4_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_4_5\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_5'>Home Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_4_5' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_39\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_39'>Student Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_4_39' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_4_6' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_4_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Ethnic Origin<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_7'>Check all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_7'><div class='gchoice gchoice_4_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='American Indian or Alaskan Native'  id='choice_4_7_1'   aria-describedby=\"gfield_description_4_7\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_7_1' id='label_4_7_1' class='gform-field-label gform-field-label--type-inline'>American Indian or Alaskan Native<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='Asian'  id='choice_4_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_7_2' id='label_4_7_2' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='Black or African American'  id='choice_4_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_7_3' id='label_4_7_3' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_7_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.4' type='checkbox'  value='Hispanic or Latino'  id='choice_4_7_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_7_4' id='label_4_7_4' class='gform-field-label gform-field-label--type-inline'>Hispanic or Latino<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_7_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.5' type='checkbox'  value='Native Hawaiian or other Pacific Islander'  id='choice_4_7_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_7_5' id='label_4_7_5' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or other Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_7_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.6' type='checkbox'  value='White (non-Hispanic)'  id='choice_4_7_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_7_6' id='label_4_7_6' class='gform-field-label gform-field-label--type-inline'>White (non-Hispanic)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Citizenship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_8'>Check only one.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_8'>\n\t\t\t<div class='gchoice gchoice_4_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='US'  id='choice_4_8_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_8\"   \/>\n\t\t\t\t\t<label for='choice_4_8_0' id='label_4_8_0' class='gform-field-label gform-field-label--type-inline'>US<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Permanent Resident'  id='choice_4_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_8_1' id='label_4_8_1' class='gform-field-label gform-field-label--type-inline'>Permanent Resident<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='gf_other_choice'  id='choice_4_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_8_2' id='label_4_8_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_4_8_other' class='gchoice_other_control' name='input_8_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you served in the U.S. military or reserves?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_9'>\n\t\t\t<div class='gchoice gchoice_4_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_4_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_9_0' id='label_4_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  id='choice_4_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_9_1' id='label_4_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you completed the FAFSA?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_10'>\n\t\t\t<div class='gchoice gchoice_4_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Yes'  id='choice_4_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_10_0' id='label_4_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='No'  id='choice_4_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_10_1' id='label_4_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Educational Information<\/h3><div class='gsection_description' id='gfield_description_4_11'>Please enter your educational information.<\/div><\/div><fieldset id=\"field_4_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which have you, or will you, receive:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_15'>\n\t\t\t<div class='gchoice gchoice_4_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='High School Diploma'  id='choice_4_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_15_0' id='label_4_15_0' class='gform-field-label gform-field-label--type-inline'>High School Diploma<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='GED'  id='choice_4_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_15_1' id='label_4_15_1' class='gform-field-label gform-field-label--type-inline'>GED<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_13'>Actual or Anticipated High School Graduation Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_13'>Month\/Year<\/div><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_13\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'>Date GED Completed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_14'>Month\/Year<\/div><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_14\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did you earn any college credits while attending high school?<\/legend><div class='gfield_description' id='gfield_description_4_19'>This would include any of the following: PSEO, College in the Classroom, IB, or AP<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_19'>\n\t\t\t<div class='gchoice gchoice_4_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_4_19_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_19\"   \/>\n\t\t\t\t\t<label for='choice_4_19_0' id='label_4_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_4_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_19_1' id='label_4_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you attended college prior to attending Bemidji State University?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_16'>\n\t\t\t<div class='gchoice gchoice_4_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Yes'  id='choice_4_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_16_0' id='label_4_16_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='No'  id='choice_4_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_16_1' id='label_4_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_17\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_17'>Name of institution you attended prior to attending BSU<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_4_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_18'>Last semester attended<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Anticipated start date at BSU<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_38'>\n\t\t\t<div class='gchoice gchoice_4_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Summer 2026'  id='choice_4_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_38_0' id='label_4_38_0' class='gform-field-label gform-field-label--type-inline'>Summer 2026<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Fall 2026'  id='choice_4_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_38_1' id='label_4_38_1' class='gform-field-label gform-field-label--type-inline'>Fall 2026<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Spring 2027'  id='choice_4_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_38_2' id='label_4_38_2' class='gform-field-label gform-field-label--type-inline'>Spring 2027<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Summer 2027'  id='choice_4_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_38_3' id='label_4_38_3' class='gform-field-label gform-field-label--type-inline'>Summer 2027<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_38_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='gf_other_choice'  id='choice_4_38_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_38_4' id='label_4_38_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_4_38_other' class='gchoice_other_control' name='input_38_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Current College Level Status<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_20'>\n\t\t\t<div class='gchoice gchoice_4_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Freshman'  id='choice_4_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_20_0' id='label_4_20_0' class='gform-field-label gform-field-label--type-inline'>Freshman<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Sophomore'  id='choice_4_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_20_1' id='label_4_20_1' class='gform-field-label gform-field-label--type-inline'>Sophomore<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Junior'  id='choice_4_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_20_2' id='label_4_20_2' class='gform-field-label gform-field-label--type-inline'>Junior<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Senior'  id='choice_4_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_20_3' id='label_4_20_3' class='gform-field-label gform-field-label--type-inline'>Senior<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Have you participated in any of the following TRIO programs in the past?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_21'>Check all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_21'><div class='gchoice gchoice_4_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='SSS'  id='choice_4_21_1'   aria-describedby=\"gfield_description_4_21\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_21_1' id='label_4_21_1' class='gform-field-label gform-field-label--type-inline'>SSS<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='UB'  id='choice_4_21_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_21_2' id='label_4_21_2' class='gform-field-label gform-field-label--type-inline'>UB<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='TS'  id='choice_4_21_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_21_3' id='label_4_21_3' class='gform-field-label gform-field-label--type-inline'>TS<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='EOC'  id='choice_4_21_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_21_4' id='label_4_21_4' class='gform-field-label gform-field-label--type-inline'>EOC<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_21_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.5' type='checkbox'  value='No, I have not participated in any TRIO programs'  id='choice_4_21_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_21_5' id='label_4_21_5' class='gform-field-label gform-field-label--type-inline'>No, I have not participated in any TRIO programs<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Eligibility Information (Part 1)<\/h3><div class='gsection_description' id='gfield_description_4_22'>Please enter your eligibility information.<\/div><\/div><fieldset id=\"field_4_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did either of your parents earn a 4-year degree?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_23'>Answer Yes if at least one of your parents received a diploma from a 4-year college or university. Answer No if your parent(s) attended a 4-year college or university but did not graduate. Answer No if your parent(s) received a diploma from a 2-year college.\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_23'>\n\t\t\t<div class='gchoice gchoice_4_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Yes'  id='choice_4_23_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_23\"   \/>\n\t\t\t\t\t<label for='choice_4_23_0' id='label_4_23_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_4_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_23_1' id='label_4_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Unknown'  id='choice_4_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_23_2' id='label_4_23_2' class='gform-field-label gform-field-label--type-inline'>Unknown<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a documented physical, psychological, or learning disability?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_24'>\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_24'>\n\t\t\t<div class='gchoice gchoice_4_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_4_24_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_24\"   \/>\n\t\t\t\t\t<label for='choice_4_24_0' id='label_4_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_4_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_24_1' id='label_4_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_49\" class=\"gfield gfield--type-post_custom_field gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Because you indicated you have a documented disability, you must either register with the BSU Accessibility Services Office or submit a signed document to the TRIO office from either your medical doctor, mental health counselor, or social worker stating that you have a physical or mental impairment that substantially limits one or more major life activities for you. Please indicate which you will do.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_49'>\n\t\t\t<div class='gchoice gchoice_4_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='I will register with the BSU Accessibility Services Office'  id='choice_4_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_49_0' id='label_4_49_0' class='gform-field-label gform-field-label--type-inline'>I will register with the BSU Accessibility Services Office<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='I will submit signed documentation from my healthcare provide to the TRIO office'  id='choice_4_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_49_1' id='label_4_49_1' class='gform-field-label gform-field-label--type-inline'>I will submit signed documentation from my healthcare provide to the TRIO office<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Eligibility Information (Part 2)  - Income Verification<\/h3><div class='gsection_description' id='gfield_description_4_46'>As a federally funded TRIO program, TRIO-SSS is required to provide documentation of your eligibility for our program to the U.S. Department of Education to meet TRIO regulations that two-thirds of the students in our program meet federal low-income guidelines. You must complete this section, whether or not you believe you qualify as low-income.<\/div><\/div><fieldset id=\"field_4_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Did your parent(s)\/guardian(s) claim you as a dependent on their Income Tax Form?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_41'>Use either their 2024 or 2025 Income Tax form based on which year had the lowest taxable income.\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_41'>\n\t\t\t<div class='gchoice gchoice_4_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes'  id='choice_4_41_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_41\"   \/>\n\t\t\t\t\t<label for='choice_4_41_0' id='label_4_41_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No'  id='choice_4_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_41_1' id='label_4_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >For students whose parent(s)\/guardian(s) claimed them on their Income Tax Form: Check the appropriate option to indicate if your parent(s)\/guardian(s) taxable income is at or below the level listed for your parent(s)\/guardian(s) family size.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_29'>Size of Family Unit is the total number of dependents claimed on your parent(s)\/guardian(s) Income Tax Form including the student applying to TRIO Student Support Services. \nYou may use either 2024 or 2025 Taxable Income. Do not use gross income.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_29'>\n\t\t\t<div class='gchoice gchoice_4_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family size = 1; Taxable income is at or below $23,940'  id='choice_4_29_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_29\"   \/>\n\t\t\t\t\t<label for='choice_4_29_0' id='label_4_29_0' class='gform-field-label gform-field-label--type-inline'>Family size = 1; Taxable income is at or below $23,940<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size = 2; Taxable Income is at or below $32,460'  id='choice_4_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_1' id='label_4_29_1' class='gform-field-label gform-field-label--type-inline'>Family Size = 2; Taxable Income is at or below $32,460<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family size = 3; Taxable income is at or below $40,980'  id='choice_4_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_2' id='label_4_29_2' class='gform-field-label gform-field-label--type-inline'>Family size = 3; Taxable income is at or below $40,980<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size = 4; Taxable Income is at or below  $49,500'  id='choice_4_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_3' id='label_4_29_3' class='gform-field-label gform-field-label--type-inline'>Family Size = 4; Taxable Income is at or below  $49,500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size = 5; Taxable Income is at or below $58,020'  id='choice_4_29_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_4' id='label_4_29_4' class='gform-field-label gform-field-label--type-inline'>Family Size = 5; Taxable Income is at or below $58,020<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size = 6; Taxable Income is at or below $66,540'  id='choice_4_29_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_5' id='label_4_29_5' class='gform-field-label gform-field-label--type-inline'>Family Size = 6; Taxable Income is at or below $66,540<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size = 7; Taxable Income is at or below $75,060'  id='choice_4_29_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_6' id='label_4_29_6' class='gform-field-label gform-field-label--type-inline'>Family Size = 7; Taxable Income is at or below $75,060<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size = 8; Taxable Income is at or below $83,580'  id='choice_4_29_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_7' id='label_4_29_7' class='gform-field-label gform-field-label--type-inline'>Family Size = 8; Taxable Income is at or below $83,580<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Family Size is more than 8; Taxable income is at or below, add $8,520 for each additional family member'  id='choice_4_29_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_8' id='label_4_29_8' class='gform-field-label gform-field-label--type-inline'>Family Size is more than 8; Taxable income is at or below, add $8,520 for each additional family member<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_29_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Our family income exceeds the levels above for our family size'  id='choice_4_29_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_29_9' id='label_4_29_9' class='gform-field-label gform-field-label--type-inline'>Our family income exceeds the levels above for our family size<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >For students whose parent(s)\/guardian(s) did NOT claim them on their Income Tax Form: Check the appropriate option to indicate if YOUR taxable income is at or below the level listed for YOUR family size.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_4_44'>Size of Family Unit is the total number of dependents claimed on your Income Tax Form including yourself. \nYou may use either your 2024 or 2025 Taxable Income. Do not use gross income.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_44'>\n\t\t\t<div class='gchoice gchoice_4_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 1; Taxable Income is at or below $23,940'  id='choice_4_44_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_44\"   \/>\n\t\t\t\t\t<label for='choice_4_44_0' id='label_4_44_0' class='gform-field-label gform-field-label--type-inline'>Family Size = 1; Taxable Income is at or below $23,940<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 2; Taxable Income is at or below $32,460'  id='choice_4_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_1' id='label_4_44_1' class='gform-field-label gform-field-label--type-inline'>Family Size = 2; Taxable Income is at or below $32,460<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 3; Taxable Income is at or below $40,980'  id='choice_4_44_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_2' id='label_4_44_2' class='gform-field-label gform-field-label--type-inline'>Family Size = 3; Taxable Income is at or below $40,980<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 4; Taxable Income is at or below  $49,500'  id='choice_4_44_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_3' id='label_4_44_3' class='gform-field-label gform-field-label--type-inline'>Family Size = 4; Taxable Income is at or below  $49,500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 5; Taxable Income is at or below $58,020'  id='choice_4_44_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_4' id='label_4_44_4' class='gform-field-label gform-field-label--type-inline'>Family Size = 5; Taxable Income is at or below $58,020<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 6; Taxable Income is at or below $66,540'  id='choice_4_44_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_5' id='label_4_44_5' class='gform-field-label gform-field-label--type-inline'>Family Size = 6; Taxable Income is at or below $66,540<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 7; Taxable Income is at or below $75,060'  id='choice_4_44_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_6' id='label_4_44_6' class='gform-field-label gform-field-label--type-inline'>Family Size = 7; Taxable Income is at or below $75,060<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size = 8; Taxable Income is at or below $83,580'  id='choice_4_44_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_7' id='label_4_44_7' class='gform-field-label gform-field-label--type-inline'>Family Size = 8; Taxable Income is at or below $83,580<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Family Size is more than 8; Taxable income is at or below, add $8,520 for each additional family member'  id='choice_4_44_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_8' id='label_4_44_8' class='gform-field-label gform-field-label--type-inline'>Family Size is more than 8; Taxable income is at or below, add $8,520 for each additional family member<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Our family income exceeds the levels above for our family size'  id='choice_4_44_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_9' id='label_4_44_9' class='gform-field-label gform-field-label--type-inline'>Our family income exceeds the levels above for our family size<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Certification<\/h3><div class='gsection_description' id='gfield_description_4_32'>I certify all information provided is true and correct to the best of my knowledge.<\/div><\/div><fieldset id=\"field_4_33\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Person Completing this Form<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_33'>\n                            \n                            <span id='input_4_33_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_33.3' id='input_4_33_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_33_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_33_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_33.6' id='input_4_33_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_33_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_4_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Relationship to Applicant of Person Completing this Form<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_35'>\n\t\t\t<div class='gchoice gchoice_4_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Applicant'  id='choice_4_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_35_0' id='label_4_35_0' class='gform-field-label gform-field-label--type-inline'>Applicant<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Applicant&#039;s Parent'  id='choice_4_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_35_1' id='label_4_35_1' class='gform-field-label gform-field-label--type-inline'>Applicant's Parent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Applicant&#039;s Guardian'  id='choice_4_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_35_2' id='label_4_35_2' class='gform-field-label gform-field-label--type-inline'>Applicant's Guardian<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_36\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_36'>Date of Application<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_36' id='input_4_36' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_36_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_4_36_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_36' class='gform_hidden' value='https:\/\/www.bemidjistate.edu\/services\/triosss\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_4_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_4_37'>The contents of this form were developed under a grant from the US Department of Education. However, those contents do not necessarily represent the policy of the Department of Education, and you should not assume endorsement by the Federal Government.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <button type='button'  id='gform_save_4_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 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