Project DRIVE Application

Section 1: Personal Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

County of Residence*

Date of Birth*

Social Security Number*

Phone*

Email*

Phone Type*

Emergency Contact Name*

Emergency Contact Phone*

Emergency Contact Relationship*

Are you a citizen of the United States?*

Non-US citizens will be required to provide additional documentation as proof of legal residency.

Yes

Has either parent earned a bachelor's degree?*

Yes

Demographic Information

Providing the following information is optional and will in no way affect your application status.

I choose NOT to answer these questions.

Race

Are you Hispanic/Latino?

Yes

Gender

Male

Female

Non-binary

Section 2: Enrollment Information for Summer 2023

List of available programs. Choose one:

CDL

CNA with Phlebotomy

Construction

Welding

High School Name*

High School Address*

City State / Province / Region

Graduation Year*

Section 3: Admissions Policy

Three Rivers has an open-door admissions policy; welcoming applications for admission from any person who has a high school diploma, its equivalent, or is 16 years of age, and is able to benefit from a program may be admitted to Three Rivers as a curricular or non-curricular student. Three Rivers is an equal opportunity affirmative action institution and does not discriminate against any student on the basis of race, color, gender, religion, age, disability, national origin, ancestry, sexual orientation, transgender or veteran status, or legal political affiliation or membership. The College evaluates special cases for acceptance.

Section 4: Computer Network/Internet Acceptable Use Policy

Three Rivers requires that all students, faculty and staff fully comply with the Computer Network and Internet Acceptable Use Policy regarding their use of college computer equipment, local and wide-area networks and Internet services. By signing this admission application, you agree to comply with the terms of this policy and agree to review this policy each semester and agree with any changes or revisions.

By checking this box, I agree to comply with the College's Acceptable Use Policy.*

I agree

Section 5: Notice of Federal Disclosure Information

Current federal law requires that eligible institutions participating in Title IV Financial Aid Programs disclose information to potential and currently enrolled students. A single-point access for required disclosure information can be found here.

The Campus Security Report, issued in compliance with Title II of Public Law 101-542: Crime Awareness and Campus Security Act of 1990, is available on the website at trcc.edu/employment.

Three Rivers College prohibits sexual harassment in any phase of its admission or in its education programs or activities. Student concerns or inquiries regarding Title IX should be directed to Title IX Co-Coordinator Ann Matthews at amatthews@trcc.edu.

Section 6: Scorecard

Pursuant to Missouri HB 1606 (2018), information regarding the number of credit hours, program length, employment rate, wage data, and graduates employed in careers related to their program of study at Three Rivers College can be found at the MoSCORES Education and Training Program Search.

Search using School/Program “Three Rivers College” and choose the degree or credential type of interest.

The following limitations to the data apply: Information provided is based on the most recent cohorts available. Typically, most recent cohorts for wage and completion data are six years prior to the current academic year. Time to complete a program of study varies depending on the number of credit hours students earn per semester.

Section 7: Submission

I understand that Three Rivers will release my enrollment information to the National Student Clearinghouse and federal and state agencies.

I further understand information on this form may be used by Three Rivers College , scholarship organizations and/or donors to determine scholarship eligibility (including but not limited to academic progress). I understand that falsification of information may prohibit me from receiving any scholarships.

I hereby certify that to the best of my knowledge, the preceding information is true and complete without evasion or misrepresentation. I understand that if it is later found to be otherwise, it is sufficient cause for rejection or dismissal.

By checking this box, I am signing this form electronically and I have read and agree to the above statements.*

Sign and agree to above statements

Phone

This field is for validation purposes and should be left unchanged.