STUDENT INFORMATION

***Please make sure all of your information is correct***

EDUCATION

EDUCATION AND COLLEGE PLANS

REFERRAL/OTHER INFORMATION

PARENT/GUARDIAN INFORMATION

Congratulations on your decision to enroll your child in the Florida State College at Jacksonville Talent Search (TS) Program. By completing this application in its entirety your child will be considered for acceptance. Please contact the TS office at 904- 633-8271 with any questions you may have.

Parent/Guardian Information

Note we will never call you at work (unless emergency)

INCOME VERIFICATION

****(Your application will not be reviewed without this information)***

Please note that income will not disqualify your child from participation. Our program is designed to assist people regardless of socioeconomic status. Your information is always kept confidential.

Please use the most recent income tax return in completing the following information.

We received the following income during the year (monthly):

INFORMATION RELEASE

I authorize Talent Search (TS) to obtain documents relative and consistent with my child’s education. Such documents include, but are not limited to: a copy of school transcripts, report cards, schedules, test scores, ACT|SAT or GED scores, and free/reduced school lunch eligibility. I authorize TS to obtain information related to my application for the receipt of college admission information. I authorize TS release or obtain information from any agency or program providing supplemental services. We would like to be part of the TS Program. I hereby give permission for my child to participate in all Talent Search activities.

MEDIA RELEASE

I hereby give my permission for my child’s name, photograph, work or statements to be used by Talent Search for promotional, publicity, or other instructional purposes.

In compliance with Florida State Statute 119.071(5), students should be aware that Florida State College at Jacksonville collects and uses social security numbers (SSNs) if specifically required by law to do so or if necessary for the performance of the College's duties and responsibilities. The College takes appropriate measures to secure SSNs from unauthorized access and does not release SSNs to other parties except as required to fulfill the College's duties and responsibilities. View full list of SSN collection purposes.

Florida State College at Jacksonville does not discriminate against any person on the basis of race, disability, color, ethnicity, national origin, religion, gender, age, sex, sexual orientation/expression, marital status, veteran status, pregnancy or genetic information in its programs, activities and employment. For more information, visit the Equal Access/Equal Opportunity page.