Thank you for your interest in the Reading, Advising, & Mentoring Program (RAMP/TRIO SSS). The information requested in this application is required by the U.S. Department of Education to meet its record keeping and reporting requirements. The information you supply will be used to determine your eligibility for the program and will remain confidential.

Please complete this application as thoroughly as possible. You cannot save and restart this application. You may want to review the application questions, take some time to make notes and gather the required documents, and then return to submit your application. If you have any questions, please email the RAMP staff at

To be eligible, you must meet one of the following criteria:

  • first-generation college student
  • low-income
  • diagnosed physical or learning disability

Your Information
Last Name *
First Name *
Middle Initial
Gender *
Date of Birth *
Bronco ID # *
Cal Poly Pomona Email Address *
Alternate Email
Permanent Address *
Address Line 2
City *
State *
Zip Code *
Is this your preferred mailing address?
If you answered no, what is your mailing address? (Street Address, City, State, Zip Code)
Cell Phone Number *
Home Phone Number

First-Generation College Student Status

The Higher education Act of 1965 and 1998 defines the term "first generation college student" as "an individual both of whose parents did not complete a bachelor's degree; or in the case of students who live with and are supported by only one parent, a student whose only such parent did not complete a bachelor's degree."

To establish if you are a first-generation college student, please answer the following questions regarding your parents' educational level. If you live with and are supported by only one parent, answer "Other" for the other parent's educational level. If your parent received a degree from another country and it is not recognized in the U.S., use "Other" for that parent. If you are unsure how to answer the question, email for guidance.

What is the highest level of education completed by your mother/guardian? *
If you selected other, please explain.
What is the highest level of education completed by your father/guardian? *
If you selected other, please explain

Financial Aid

Are you receiving financial aid? *
Are you receiving a Pell Grant? *
If you are not receiving financial aid for the 2023-24 academic year, have you submitted your FAFSA?

Are you currently registered with CPP's Disability Resource Center (DRC)? *
If so, do we have your permission to confirm your registration with the DRC?
If you are not registered with the DRC, do you have documentation of your disability?


RAMP is participating in a pilot which temporarily waives the citizenship requirement for a student to participate in RAMP.  As such, answering this question is optional but could assist us in demonstrating success of the pilot. Your response will remain confidential and will only be presented as aggregate data.

What is your citizenship status?

Ethnicity / Race
Are you Hispanic / Latino? *
Please select your race. Check all that apply.
American Indian or Alaskan Native?
Black / African American
Native Hawaiian / Other Pacific Islander

Academic Information
Current Grade Level *
What was your first term at Cal Poly Pomona? *
Enrollment Status *
Current Major (if undeclared, write undeclared) *
Are you a transfer student?
Degree completed *
Are you a parenting student?

Other Information
Have you ever participated in a TRIO program? *
If so, where is the TRIO program located?
If you participate in any campus support programs, list them here (i.e., ARCHES, BroncoScholars, EOP/RS, MEP, McNair, PolyTransfer)? *

Note: ARCHES and RAMP are both TRIO SSS programs and you can not participate in both programs simultaneously. If you are an ARCHES participant, you will need to choose to participate in either ARCHES or RAMP. 

Is English your native language? *
How many years have you been speaking English?
Are you considering applying to graduate school for a master's or doctorate?
If so, which graduate program or school?
How did you hear about RAMP? *
Emergency contact (name & relation) *
Emergency contact phone # *
What size t-shirt do you wear? *
Program Commitment: Once you are accepted into RAMP, you are a participant until you graduate from Cal Poly Pomona. You do not need to reapply each year. To remain active, you will need to meet with your RAMP advisor at least once per semester and have a minimum of one other contact with RAMP each semester. 

Media Release

I, the undersigned do hereby consent and agree that the Reading, Advising, & Mentoring Program (RAMP) staff and agents have the right to take photographs, videotape, or digital recordings of me, and that my name and identity may be revealed therein, for the purpose of documenting program activities and events. I release to RAMP staff and agents rights to include such images and recordings, as well as textual information involving my participation in the RAMP program, in program publications, which include printed materials, digital materials and emails, and materials posted to the Web or social networking sites. I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.

Please use your mousepad to sign *
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Signature: (Type in your full name)
I agree to the terms included.

Authorization and Affirmation

I hereby authorize RAMP staff to obtain academic, financial aid, and other information pertinent to my participation in RAMP. I understand that a copy of my application form will be kept on file at the RAMP office and that resulting information received from advisors, admission, financial aid officers, instructors, or other campus staff will be kept confidential in compliance with the Family Educational Rights and Privacy Act. I affirm to the best of my knowledge that the information I have provided is true.

Signature *
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Signature: (Type in your full name)
I agree to the terms included.