Parent/Guardian 1

Parent/Guardian 2

Select Highest Level of Education (biological or adoptive parents only):

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Select all the activities you would Like to participate in

Please complete the following survey. Your answer will aid in planning workshops at your school. Thank you!

 I authorize UA-Little Rock TRIO Talent Search to receive copies of my transcripts, test scores, financial aid awards, school meals verification, and other material necessary to assess post-secondary entry needs and for participation in the program.

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By signing below, I verify all the above information to be true to the best of my knowledge.

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I hereby permit the UA-Little Rock TRIO Talent Search Program to use, in whole or in part, student names, photographs, videos, and written extraction of the above named student for the purpose of illustrations or publications including program websites.

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