Educational Opportunity Program (EOP) Application

Student Information

First Name

Last Name

Physical Address

Country

Street

City

Region

Postal Code

Email Address

Phone Number

FLCC Student ID # (Found on MyFLCC)

Do you plan on living at The Suites at Laker Landing?

Yes

No

Unsure

Birthdate

Are you a U.S. Citizen?

Yes

No

Are you or your family primarily dependent on public assistance payments from Temporary Assistance to Needy Families (i.e. Family Assistance, Safety Net, cash grants received from public assistance)?

Yes

No

Were you previously an EOP student at FLCC?

Yes

No

Have you ever attended college before?

Yes

No

Please list the name(s) of all colleges at you have attended:

Are you in foster care as established by the court?

Yes

No

Are you a ward of the court or county?

Yes

No

Did you participate in an EOP/HEOP program at another institution?

Yes

No

What is your intended major?

How many members live in your household, including yourself?

List each household member's name and relationship to you:

Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Household Member Full Name

Relationship to you:

Please use the space to list additional household member names and relationship to you:

Eligibility Guidelines

Have you been a New York State resident for 12 months prior to admission to FLCC?

Yes

No

Are you a first-time, full-time college student?

Yes

No

Are you a transfer from another college?

Yes

No

Were you enrolled in an EOP/HEOP program at the last college you attended?

Yes

No

Have you graduated from a NYS High School?

Yes

No

Was your High School Cumulative GPA between a 70 - 85?

Yes

No

Unsure

Income Guidelines and Eligibility

The table below lists the financial eligibility guidelines for EOP admissions which have been established by the State University of New York (SUNY) to determine whether or not a student is eligible for EOP. Please use this table as a guide to determine your eligibility for the program. For students first entering college during the 2024-2025 academic year, please use the 2022 annual income for determination.

Income Guidelines DO NOT APPLY if:

The student's family is the recipient of Family Assistance or Safety Net payments through the New York State Office of Temporary and Disability Assistance; or through a county Department of Social Services; or of Family Day Care payments through the New York State Office of Children and Family Assistance;
The student is in foster care as established by the court;
The student is a ward of the state or county.

Income Tax Verification (select all that apply)

My parents, or I, DID FILE a 2022 federal tax return

My parents, or I, did NOT file and ARE NOT REQUIRED to file a 2022 federal tax return.

My family, or I, received SOCIAL SECURITY/SUPPLEMENTAL SECURITY INCOME

My family, or I, received SOCIAL SERVICES, TANF, or SNAP

My family, or I, received WORKERS COMPENSATION/DISABILITY INSURANCE

My family, or I, received CHILD SUPPORT

My family, or I, received BUSINESS, INVESTMENT REAL ESTATE, and/or INVESTMENT FARM AID

Please provide a copy of your parent/self 2022 Federal Income Tax Return and all W2s.