We appreciate your interest in the TRIO-STEM program at UAFS. TRIO-STEM provides opportunities for academic development, assists with basic college requirements, and helps motivate students toward graduation. Once you complete the below application, a TRIO-STEM staff member will contact you shortly. If you have any additional questions or concerns, please contact us at 479-788-7749 or trio-stem@uafs.edu.
General Information:
Last Name: *
First Name: *
UAFS Email Address: *
UAFS ID Number (without @) *
Date of Birth: *
Gender *
How did you hear about TRIO STEM?
Describe your primary reason for applying:
Address: *
City: *
State: *
Zip Code: *
Cell Phone Number: *
Do you live on campus? If so, where? *
Race, American Indian or Alaskan Native *
Race, Asian *
Race, Hawaiian or other Native to Pacific Island *
Race, White *
Race, Black or African American *
Ethnicity (Hispanic or Latino) *
Academic Info:
Current Grade Level:
Major *
Eligibility Information:
Parent 1's Highest Educational Level *
Parent 2's Highest Educational Level *
Are you a US citizen or legal resident? *
Specify if 'Other' Is Selected on Previous Question
Do you receive ADA accommodations? *
Have you participated in any other TRIO Programs? (TRIO Programs include Upward Bound Classic or Math-Science, Talent Search, Educational Opportunity Center, GEAR UP, and Student Support Services) *
If yes, what TRIO Programs have you participated in?

By submitting this application, I authorize the TRIO STEM SSS Program to obtain, copy, review, and discuss records including (but not limited to):

  • High School Transcript
  • Transcripts from Other Colleges
  • Financial Aid Records
  • Standardized Test Scores
  • Course Registration for Each Semester
  • Academic Progress
  • Final Grades and Transcripts
  • Disability Documentation

I authorize use of my name and photograph to be published in Student Support Services’ publications.  I also certify that all of the above information is correct. Completion of the application does not guarantee acceptance into the program.  I certify that the information I have provided is true and correct to the best of my knowledge. 
Sign and Submit:
Applicant Signature *
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Signature: (Type in your full name)
I agree to the terms included.