Quick Links
In This Section
Emergency Contact Information
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Address(es) for Lyft Transporation
Note: To have address on file, students must provide proof of residency, employment, and clinical.
For example, proof of residency, work schedule, or class schedule.
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Enter work address information, if applicable
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Enter clinical address information, if applicable
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Student Demographic Information
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Self-identification is important, and we understand that we each have our own understanding of the words used to describe our own experiences. So that we can best honor your identity and experiences, please select (as many as you want) from the list below.
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Additional Information
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Student Verification
By signing this application, I attest that all the information on this application is true and accurate. I authorize the release and disclosure of official school records to Student Services; understanding that the information in these records will be used only to assess need for program services, including monitoring program progress, evaluate the effectiveness of Troy Ride, and fulfill program reporting requirements. I also allow Student Services and Triton College to use my image for program promotional purposes.
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }
Captcha is temporarily disabled.
').text(friendlyName).html(); //https://developer.mozilla.org/en/JavaScript/Reference/Global_Objects/String/replace //https://msdn.microsoft.com/en-us/library/ewy2t5e0.aspx var escapeSpecialCharacterFromEncodedFriendlyName = encodedFriendlyName.replace(/[-\/\\^$*+?.()|[\]{}]/g, '\\$&'); searchPattern = new RegExp("#" + escapeSpecialCharacterFromEncodedFriendlyName + "#", 'g'); text = text.replace(searchPattern, $('
').text(value).html()); } $currentElement.html(text); })($$epiforms); }); }); }