Sss Application Packet - Old Dominion University
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1
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3Center For High Impact Practices
S
S
S
TUDENT
UPPORT
ERVICES
1104 Student Success Center • Norfolk, VA 23529-0011 • Phone: 757/683-3582 • Fax: 757/683-5758
Dear Student:
We invite you to apply for enrollment in Student Support Services (SSS). Tutoring, academic skills
workshops, cultural enrichment activities, and many other activities are available to SSS students.
Please complete the form and submit the required documents. If your parents/legal guardians claim you as a
dependent on their income tax return, have them assist you with completing the forms. If you have any questions,
please contact us at (757) 683-3582, Monday through Friday, 8:00 a.m. - 5:00 p.m. or visit our home page at
STUDENT SUPPORT SERVICES ELIGIBILITY CRITERIA
Low-Income/First Generation College Student
*First Generation College Student Only
Low-Income Student Only
Student with a Disability - Low-Income
*Student with a Disability - High Income
*(Number of spaces available will be determined each year)
DOCUMENTS NEEDED TO PROCESS THE APPLICATION
A. Student Support Services Application (All applicants)
B. Income Verification (All applicants)
Dependent Student - Copy of last year’s income tax form for parent(s)/legal guardian(s), a written statement
or other document indicating taxable or non-taxable income and number of dependents claimed for last year.
Independent Student - Copy of applicant’s last year income tax form, a written statement or other document
indicating taxable or non-taxable income and number of dependents claimed for last year.
C. Verification Of Disability - (Applicant with a disability only)
The above documents should be returned to:
Student Support Services
Old Dominion University
1104 Student Success Center
Norfolk, VA 23529-0068
Sincerely,
Mrs. Jacqueline F. Hines
Director
Mrs. Julie Perez
Academic Coordinator
Old Dominion University is an equal opportunity, affirmative action institution.
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