Student Support Services Program Application

Please initial confirming you accept the terms below.

The Student Support Services program and staff have my permission to communicate verbally, in writing, by email or other means to share information with Lake Michigan College faculty, staff, departments, and/or off-campus professionals.

The Student Support Services program and staff have my permission to submit on an annual basis my name and date of birth to the National Student Clearinghouse to verify enrollment and degree information.

Being permitted by the Lake Michigan College Student Services program to participate in program travel and/or activities, to use its equipment and facilities, I agree to indemnify and hold harmless the Student Support Services program, all Student Support Services staff, and Lake Michigan College from any and all claims which are in any way connected with such use or participation in Student Support Services program.

I give permission to the Student Support Services program and staff to obtain, review, discuss and copy all records and information available through Lake Michigan College, its faculty, departments or staff, including but not limited to academic and financial aid records, and to release information to the US Department of Education and/or Lake Michigan College faculty, departments or staff.

I certify that all information provided on this application is true and complete and I give permission for TRIO SSS Staff to contact me by phone, text and email..