TRIO Talent Search is federally funded by the U.S. Department of Education

Talent Search (TS) at Graceland University is a free, educational program for students 11-27 years old who have completed the fifth grade. 

TS is designed to assist participants in their preparation for enrollment into ANY college of their choice.  All information on this application is confidential.


 

Student Information:
First Name *
Middle Name
Last Name *
School *
Grade *
Age *
Date of Birth *
Gender *
What is the student's ethnic origin? *
Is the student Hispanic or Latino? (Y/N) *
Please check this box if the student is in an English as a Second Language (ESL) Program?
Is the student a U.S. Citizen? (Please type Yes or No) *
If not a U.S. Citizen, is the student a permanent resident and/or becoming a U.S. Citizen?
If becoming a permanent resident, please provide the student's Perm Res Card#:
Street Address *
P.O. Box or Apt #
City *
State *
Zip *
Cell Phone

Household Information:
Is the student in Foster Care or a ward of the state? *
Who does the student regularly reside with? *
Number of people residing in student's household including yourself? *
Did the student's mother GRADUATE from college with a bachelor's degree (4 year degree)? *
College Name:
Did the student's father GRADUATE from college with a bachelor's degree (4 year degree)? *
College Name:
HOUSEHOLD TAXABLE INCOME: This is NOT your gross income, but your NET income AFTER payroll deductions found on IRS Form 1040 Line 15: *
Mother/Guardian Name *
Relationship to Student: *
Cell Phone
Email Address *
Address *
Address 2
City *
State *
Zip *
Father's/Guardian 2 Name
Relationship to Student?
Father/Guardian 2 Cell #
Father/Guardian 2 Email Address
Street Address
Street Address 2
City
State
ZIP

Permissions for:
Program Participation Permission (Yes/No) *
Do you authorize TRIO Talent Search to obtain copies of your student's official transcripts? (Yes/No) *
Do you give permission for Talent Search to use photographs and other media of your student? (Yes/No) *

Sign and Submit:
Your signature below will certify as to the truth of the statements made on this form and will also serve as an authorization for the Talent Search program to request and receive information from your school, including, but not limited to: report cards, free and reduced lunch status, social security number, standardized test results, use of photographs (including, but not limited to, the TS webpage and TS Facebook page, unless marked 'no' above) and any information or transcript from your school or future college that might be pertinent to the program.  It will also imply your permission for your student to take part in activities related to Talent Search.
Parent/Guardian Signature *
Please select a signature verification type.

IMPORTANT! YOUR SUBMISSION IS NOT COMPLETE UNTIL YOU CLICK ON THE "SUBMIT APPLICATION" BUTTON BELOW.