Thank you for your interest in our Student Support Services (SSS) Program at UMASS Boston! The program starts your first week on campus. You will work closely with your SSS advisor to explore majors, careers, mentoring and to access and receive subject area tutoring. We also want to help you create a plan to work toward your future career or graduate school. Please complete this application as thoroughly as possible. Please only submit ONE application. You cannot save and restart this application. 

You may want to review the required items, take some time to make notes, and gather the required documents.

  • You must upload your FAFSA Submission Summary (FSS) that you can download from your FAFSA account (preferred) or yours or your parents' most recent 1040 tax form that shows the taxable income (first two pages only)
  • If you have a disability, please include your IEP, 504 plan, or proof registration with the Ross Center at UMass Boston.

If you have any questions, please call our office at 617-287-5820.


General Information

Legal First Name *
Middle Name
Legal Last Name *
Preferred Name
Date of Birth *
Gender
Did you graduate from a Boston Public School? *
Major(s) and Minor(s) Interest:
Career Path of Interest:
UMB ID Number *
Ethnicity *
Race, Black or African American *
Race, Asian *
Race, American Indian or Alaskan Native *
Race, Hawaiian or other Native to Pacific Island *
Local Address *
Local City *
Local State *
Local Zip *
Phone Number *
Email Address *

Citizenship Information

Are you a US Citizen?
If not, are you a US Resident (green card holder)?
If you are a Resident, provide your green card number (Alien Registration # that starts with "A").

Academic Information

SSS Eligibility *
Current Grade Level *
Did you have an IEP/504 plan in high school or through a government agency? *
Are you registered with the Ross Center for Disability Services at UMass Boston? *

Family Information
Parent 1 Educational Level *
Parent 2 Educational Level *

________________________________________________________

Please upload the required documents in order to successfully process your application:

Proof of Citizenship or Legal Residency (I.E Passport, ARC or Birth Certificate) *
IEP or 504 Documents
FAFSA Submission Summary (FSS)
1040 Tax 2023 Document (First Two Pages)

Supplemental Information
Are/were you a DSP participant? If so, please type DSP and the year you completed the program. *
Current Living Situation *
Were you participant in another TRIO program? (Please indicate the location of the program below.)
TRIO Program Location
Current Major *
Please select the drop-down option that applies to you. *
If you are a transfer student, where did you transfer from?
While in school, how many hours per week do you work? *
Do you have ample familial support at home in your pursuit of a college degree? *
Within the past 12 months, my family and I worried whether our food would run out. *
Within the past 12 months, my family and I worried whether we would be able to pay for rent. *
Has your physical or mental health impacted your ability to do well in your studies? *
Which area do you feel you most need additional support to be successful? (You will receive all services you require regardless of your answer.) *
Do you need support with accessing computers or laptops? *
Other concerns/issues (please list)

Please read the university's IT Student Acceptable Use policy found in this link before signing this form: https://www.umb.edu/it/software-systems/email/student-acceptable-use-policy/.

I have read and received a copy of UMass Boston's IT Student Acceptable Use outline and agree to the terms of usage in the document.

Signature *
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Sign and Submit

Applicant Signature *
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Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.