University Of Arkansas-Little Rock-TS

TRIO STUDENT SEARCH HIGHER EDUCATION ACCESS PROGRAM

STUDENT APPLICATION

2021-2022

TRIO Talent Search is a community service of UA Little Rock and is funded by the U.S. Department of Education

First NameMiddle NameLast Name

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Street/P.O. Box

Street Address Line 2

CityState

Zip Code

all the timesometimes

Some SchoolHigh SchoolSome CollegeBachelor's or more

I authorize UA Little Rock 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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ALL INFORMATION IS CONFIDENTIAL

Check all activities you would like to participate in.

Career explorationInterviews & resumes

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

Educational Goals for this Year

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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