** If any of the above are true, parents information is not necessary and the student must provide their own income information.

Citizen Information

The following information is required by the federal government to ensure we are providing services with guidelines and to determine the economic eligibility of each applicant. Failure to complete this section could result in delay or denial of student's admission to Alternative Pathways.  All information is confidential in compliance with the Federal Family Rights and Privacy Act and will be kept on file at the Alternative Pathways TRiO Talent Search office located at the Multnomah ESD administrative office.

Parents Education Level

Household Income

Several times per year, Alternative Pathways offers field trips to local colleges, universities and technical or training institutions. Alternative Pathways covers the transportation costs associated with these field trips as well as coordinates all activities and supervises students. *In order for your student to participate in a field trip sponsored by Alternative Pathways, the following field trip permission slip must be signed.

I authorize this student to participate in Alternative Pathways field trips. I understand in signing this form, I am releasing Multnomah Education Service District and Alternative Pathways, the director and employees thereof from all claims and demands for any harm, injury or damage which my befall my child during any field trip.

I understand and agree that neither Multnomah Education Service District and Alternative Pathways, the director and employees thereof may be held liable for any occurrence in connection with any field trip which may result in injury or damages to my child.

I understand that my students are expected to represent themselves and the school when participating on field trips. If any rules or responsibilities are violated, my child will not be permitted on any future Alternative Pathways trips for the duration of the school year.

To the best of my knowledge, all the information I have provided in this application is true.

I hereby authorize Alternative Pathways, TRiO Talent Search program to contact and request information from, as well as share information with the student's school, teachers, counselors and postsecondary admissions offices. I give my student, (if under 24 years of age), permission to participate in Alternative Pathways activities if accepted. Our signatures below indicate our commitment to the Alternative Pathways program. By signing the following statement you agree that you are not receiving services from any other TRiO project.