SSS Forms - University of Southern Indiana

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Form	Audience	Description
Application for Admittance into SSS	Prospective Participants	Complete this form if you are interested in becoming a participant in USI's TRIO: Student Support Services Program. You will be asked a series of eligibility questions and will be contacted upon completion to setup an interview with an SSS staff member. NOTE: If you will be indicating that one of your eligibility criteria is the presence of a disability, please complete the application with a witness over 18 years old as you will be asked to sign a release of information between SSS and the Office of Disability Resources.
Employment Application to Become an SSS Mentor	Prospective SSS Mentors	Complete this form if you are interested in applying to become an SSS mentor for the upcoming academic year!
Continuing Particpant Pledge	Continuing Participants	This form is a review of SSS programmatic expectations. Please complete this form prior to, or at the time of, your first semesterly meeting with SSS staff.
Disability Resources Release of Information with SSS	Prospective and Current Participants	Complete this standalone form if you are a prospective or current SSS student who is also receiving accommodations through Disability Resources, but did not sign an initial Release of Information during the time of application to the SSS program.
RSVP Form for SSS Events	Current Participants	Complete this form, as requested, to indicate your intention to attend various SSS-hosted events. This form doubles as an activity waiver.
Employment Log	SSS Peer Mentors, Peer Tutors, Social Media Specialist, and other SSS student workers	Complete this form to record paid time spent completing the duties assigned to your associated student worker position within the SSS department. NOTE for Mentors and Tutors: You will complete one form per pay period and one section per mentee. At the end of your first activity log, please indicate if you need to report activities for an additional mentee and you will be provided an additional form immediately. Please indicate "Training" as your mentee's name on the form if your week included a paid SSS training opportunity.
Needs Assessment	Prospective Participants	Prior to your scheduled interview with an SSS staff member, please complete this short Needs Assessment to help our staff fully understand any areas of concern that our program can aid in addressing.
New Participant Pledge	First-Year SSS Participants	This form is a review of SSS programmatic expectations. Please complete this form at the time of your first meeting with SSS staff. The contents of the form will be reviewed collaboratively during that meeting.
SSS End of Year Survey	Current Participants	This form is a survey that is to be completed at the end of each academic year to help provide feedback to SSS staff regarding the impressions and impacts of the program over the past year.
SSS Exit Interview	Current Participants	This form is required upon departure from the SSS program. Please complete this form prior to your exit from the University whether the reason is due to graduation, transfer, or other.
SSS Mentoring Program Survey	Mentor Program Participants	Complete this form following participation in the SSS Mentoring Program as either an SSS Peer Mentor or as a Mentee.
TRIO of Events: Academic/Cultural Event Submission	Current Participants	Complete this form to record your academic and cultural events for your TRIO of Events program requirement as outlined in your Participant Pledge: "I will attend a TRIO of Events including: at least one (1) cultural event and at least two (2) academic workshops that are recommended or sponsored by the SSS program during the academic year."