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University of Alaska Fairbanks
Student Support Services program application
Please complete this application and submit, you will be contacted with your application status within 5 business days.
Note: you are not able to save your progress and return to the form later.
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Preferred Contact Method
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Are you a First Year Student?
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Are you enrolled or planning to enroll in at least 6 hours' worth of classes?
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Are you admitted to a 4-year degree program?
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Are you a low-income student?
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Did you receive the Pell Grant?
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Are you a first generation college student?
A first generation college student is defined as a student whose parent(s)/legal guardian(s) have not completed a U.S. bachelor's (4-year) degree.
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Do you experience a documented learning or other disability?
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If YES, are you registered with UAF Disability Services?
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If you selected “no” to the question above: To better serve our student
population, and to meet requirements as a federally funded program, we have
partnered with Disability Services on campus to verify disability documentation.
Please contact their office at (907) 474-5655 to coordinate verification. You may also
email them at uaf-disability-services@alaska.edu or visit their website at
www.uaf.edu/disabilityservices.
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Ethnicity:
(select all that apply)
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Race, American Indian or Alaskan Native
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Race, Black or African American
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Race, Hawaiian or other Pacific Islander
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Where are you planning to live?
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Student Self Assessment
Please check everything that applies to you
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Attended high school with fewer than 100 in graduating class
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Limited legal rights or on probation or parole
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Out of academic pipeline for 5 or more years
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Working more than 20 hours a week
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Defaulted on federal student loans
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Single parent without a support system
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Commute 20 miles or more a day
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Personal decisions interfere w/education and/or career choices
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Homeless and/or unstable housing
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Please check any box that refers to a skill or item that you don't have or would like to improve.
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Using basic software (word, excel)
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Using Google Apps (email, calendar, etc) or the internet
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Using graphing calculator
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Don't have reliable access to computer or home internet
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Time management and organization
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Test taking/preparation/anxiety
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Reading speed and comprehension impacting coursework
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Proofreading and essay and research writing
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Feel unprepared for math, science, and/or engineering courses
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Choosing a career or major
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Resume and cover letter design
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Applying for internships & job shadows
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Graduate or professional school selection & application process
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Personal Assistance Referrals
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Coping with stress or anxiety
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Health Issues (Including Seasonal Affective Disorder, SAD)
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Disabilities accommodation
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FAFSA assistance (deadlines, technical support, PIN, etc.)
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Consumer credit counseling
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Loan repayment/forgiveness
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Financial aid verification
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I certify that the above information is true and correct.
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