How to Apply for Student Support Services


SSS Application Form

Students who have a form of academic need and meet the eligibility requirements need to fill out an application form and submit it to the Student Support Services staff.

Eligibility is based on federally defined criteria where at least one of the following must be met:

  • First Generation College Student (neither parent has a bachelor's degree)
  • Limited Income (Income eligible per federal guidelines)
  • Have a documented learning or physical disability

An eligible student must need academic support and be either a US Citizen or Permanent Resident who has not yet earned a bachelor's degree but is committed to using SSS resources and graduating from Tech with a bachelor's degree.

How to submit your application:  You can download the application by the link at the top of this page or on the Useful Links tab: Submit your completed application to SSS by one of the following methods:

Mail to: Student Support Services, Ross Pendergraft Library & Technology Center, 305 West QStreet Russellville, AR 72801

Fax to: (479) 880-4239

Email to:

Return in person to: SSS Personnel on the 2nd floor of the Library.

After you submit your completed application, you will be contacted by the SSS Office to schedule a meeting to discuss your application and academic needs. After your meeting, you will receive an e-mail notification on whether or not you have been selected for the program or have been put on the waiting list.