Are you a sophomore, junior or transfer student who is currently enrolled at USC Upstate and is interested in becoming a part of the Opportunity Network program? Please complete the following form to apply for the program. Eligible students will be contacted to schedule an appointment with Opportunity Network staff members to discuss the program in greater detail. For more information visit the Opportunity Network webpage.

• Personal Information
• First Name *
• Middle Name *
• Last Name*
• Birth Date*
• Gender*

  Male

  Female

• Email*
• Home Phone*
• Cell Phone*
• Local Address:*
  State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• Permanent (if different from local)*
  State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• Education Info
• Major: Art Education Art Studio - Graphic Design Biology Business - Accounting Business - Economics/Finance Business - General Business Business - Management Business - Marketing Chemistry Child Development & Family Studies CIS Networking and Information Security Commercial Music Communication - Mass Media Communication - Public Relations Computer Information Systems Computer Science Criminal Justice Early Childhood Education Elementary Education Engineering Technology Management English History IM&S - Healthcare Information Management & Systems Interdisciplinary Studies Mathematics Middle Level Education Nursing Nursing (RN to BSN) Exercise & Sport Science Physical Ed - Teacher Education Political Science Pre-Chiropractic Pre-Dental Pre-Engineering Pre-Law Pre-Medical Pre-Optometry Pre-Pharmacy Pre-Physical Therapy Pre-Vet Psychology Secondary Ed - Biology Secondary Ed - Chemistry Secondary Ed - English Secondary Ed - Mathematics Secondary Ed - Social Studies/History Secondary Education - Spanish Sociology Spanish Special Ed - Learning Disabilities Theatre Undeclared Major Pre-Occupational Therapy Pre-Physician Assistant GPA:*
• Class Standing: Freshman: <15 hours Freshman: 15-29 (hrs) Sophomore: 30-59 (hrs) Junior: 60-89 (hrs) Advisor:
• Do you receive financial aid?*

  Yes

  No

  Do either of your parents or guardians have a 4 year degree??*

  Yes

  No

  Are you a transfer student?*

  Yes

  No

  If yes, from what school?
• Other Info
• How did you hear about Opportunity Network (Trio SSS)? Trio Counselor Website Disability Services School Counselor Letter from Director University Fair Other -specify in box below Friend: If yes, type name in box below.
• Specify:
• Have you ever participated in another TRIO program (Education Talent Search, Upward Bound, Educational Opportunity Center, or Student Support Services)?

  Yes

  No

  If so, where? Counselor's Name VIP ID
• Essay Topic
• What is it you hope from participating in Opportunity Network, a TRIO Student Services program, at USC Upstate?
• Magnolia House Courtyard Level 800 University Way Spartanburg, SC 29303 Toll-free: 800-277-8727 Phone: 864- 503-5965