|
ETS Online Application
Thank you for taking the time to apply! We are so excited to know that you are interested in this opportunity.
The information you provide in this application is confidential according to the Family Rights and Privacy Act. The US Department of Education has the authority to gather the information requested in this application (20 USC 1231a). The only persons authorized to examine the contents of this application are the student, their parents, employees at the school attended, and authorized Educational Talent Search staff.Â
|
|
|
|
|
|
|
|
|
|
|
Are you a citizen of the United States?
|
|
|
|
|
|
|
|
|
|
|
Cultural Background Information
|
|
|
Family Information and Eligibility
Educational Talent Search is a federally funded grant aimed to reach individuals with certain incomes and/or whose parents have not obtained a Bachelor's Degree. We are required to ask the following information for this purpose.
|
|
Highest level of education of the biological or adoptive parent(s) the student lives with the majority of the time
|
Does your family qualify for free or reduced lunches?
|
How many people in your household
*
|
|
DO NOT USE GROSS INCOMEÂ *For Annual taxable income, please use the income of the parent the student lives with 51% of the year. If the answer is zero, type "0". If possible please include a copy of last year's tax return. If you do not file taxes please type "Do Not File".
|
If the applicant is a ward of the count please provide the Caseworker Name and Number
|
If applicable, please provide the name and age of all siblings living in the primary household under 18.
Sibling Information
|
|
|
|
Please list any additional siblings here
|
Guardian Information
Please fill out the following information for the legal parent(s) or guardian(s) of the student.
Parent or Guardian 1
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Assessment of Student Needs
To enroll in post-secondary education (college), I would benefit the most from the following service (check one only).
|
|
Media Release Form
Do you give permission your son/daughter to be interviewed, photographed, or videotaped by Educational Talent Search for use on radio, TV, in printed news media, or in program promotional materials and documentations?
|
Media Release Permission
*
|
ETS Authorization Consent
I/we authorize Education Talent Search (ETS) to obtain documents relative to and consistent with my child's education. Such documents may include: a copy of school transcripts, report cards, test scores, ACT/SAT or GED scores, and school lunch program eligibility. I/we authorize ETS to obtain information related to my application for receipt of the student financial assistance (federal, state or other), a copy of my award notification from the financial aid office, and college admission information. I/we authorize ETS to release to or obtain information from any agency or program providing supplemental services. We would like to be a part of the ETS program. I hereby give my permission for my child to participate in all ETS activities.Â
Your digital signatures below testify to the accuracy of all information provided on this application.
PAUSE - Please wait a few moments for the signature pad to appear after clicking E-Signature.
Fill out one signature box at a time.Â
|
Please select a signature verification type.
|
Please select a signature verification type.
|
|
|