• PARTICIPANT APPLICATION

    Please type or print in blue or black ink. (Please do NOT use white-out!)

    • STEP 1:  
    • Student, please answer the following questions about yourself.

    • STEP 2:  
    • Student, please answer the following questions about yourself.

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      Pick a Date
    • STEP 3:  
    • Student, please answer the following question about yourself.

    • STEP 4:  
    • Student, please answer the following questions about your parents and about yourself.

    • Talent Search is funded by the Dept. of Education TRIO programs P044A160663 No student shall be discriminated against on the basis of any impermissible criterion or charachteristic including ,but not limited to, race, color,nationa origin, religion,marital status,disability, gender age or any other protected class as defined by federal or state law. Institutions must publish their policies regarding nondiscrimination.

    • STEP 5:  
    • Student, please answer the following questions about yourself.

    • STEP 6:  
    • You (the student) must answer the following questions about yourself if you are at least 24 years old or you answered YES to any question in STEP 5. Your parent(s) must answer the following questions about themselves if you are less than 24 years old and you answered NO to all questions in STEP 5.

    • STEP 7:  
    • You (the student) must read the following statement and then sign and date below it. If you (the student) are less than 24 years old and answered NO to all the questions in STEP 5, your parent or legal guardian must also read the following statement and then sign and date below it.

    • By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of the student’s official academic records to the Talent Search Dept.of Wallace State community College understanding that the information in these records will be used only to assess the student’s need for TRIO program services, discern the student’s educational progress, evaluate the effectiveness of TRIO program activities, and fulfill TRIO program-reporting requirements. Finally, I authorize Talent Search of WSCC to use the student’s name, statements and likeness, without charge, for promotional purposes in WSCC publications, advertising, video, and other formats.

    • Clear
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      Pick a Date
    • Clear
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      Pick a Date
    • Assessment of Student Need for Project Services  
    • Determination & Assessment of Student Need for Project Services

      (34CFR643.32(c)(1-2))

    • What three careers interest you the most?

    • Clear
    •  -  -
      Pick a Date
    • Submit  
    • Should be Empty: