Trinity F1RST Program Registration – Student Success and Enrollment

Space in this program is limited and reserved on a first-come, first-served basis.

Participant Information

Student Name(Required)

First Last

Student Email(Required)

Student Phone

Trinity Student ID#

Student Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Information

Name of Parent or Guardian(Required)

First Last

Email of Parent or Guardian(Required)

Payment Information

Program costs are being offset through the generous donation of the Perrin family fund. If you have been awarded Institutional Aid and would like to be considered for additional support to cover the registration fee, please see below*.

Program Registration (F1RST)(Required)

Price:

Total

Billing Address(Required)

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cardholder Email(Required)

Credit Card(Required)

Card Details

Cardholder Name

Financial Aid

* Financial Aid

I have been awarded Institutional Aid and would like to be considered for a need-based scholarship.

More details about the Trinity F1RST Scholars Program are located on Trinity’s website at www.trincoll.edu/f1rst/.

Additional questions should be directed to Roberta Rogers, Director of Retention Strategy and Transition Programs, at 860.297.2150 or at Roberta.Rogers@trincoll.edu.