Lake Sumter State College-TS

Lake-Sumter State College Talent Search is a federally funded program (US Department of Education) for qualifying students in selected middle and high schools who have the determination to attend the college of their choice. Our goal is to assure that our participants graduate from high school, apply and enter the college of their choice, secure financial aid/scholarships to pay for their college education, and graduate with a postsecondary educational degree. The program is based at Lake-Sumter State College, but a representative from the program will be at your child’s school on a regular basis throughout the year to talk with students about their educational goals and to help them identify and achieve their full potential for excellence. The program is 100% grant funded and all services are FREE to participants. Our program provides the following services to middle and high schools.
- Academic Advisement
- Career Exploration for College
- College Admissions Assistance
- College Tours and Cultural Events
- Study Skills/Decision Making
- Homework Assistance for Middle School Students
- Financial Aid Workshops
- FSA/EOC/SAT/ACT TestPrep
- Financial Literacy
- Scholarship Information
In order to participate, students must submit an application, and be deemed financially eligible by the guidelines set forth by the U. S.Department of Education. Students will be selected for the program based on their need for these services and on their qualifications. A portion of the participants must demonstrate economic need and be the first generation of their family. We are particularly interested in serving *low income and *first generation college students, but *others may apply.
- *Low-Income: Refers to an individual whose family’s taxable income for the preceding year did not exceed 150% of poverty level amount
- First-generation: Means neither biological nor adoptive parents have earned a four-year college degree.
- Others: Students whose parent have a four-year college degree or exceed the financial guidelines above, however demonstrate an academic need.
Any financial information you provide will be for statistical use of the LSSC Talent Search Program and will be held strictly confidential. School offices will not be provided with these records. Thank you for taking the time to allow your child to have access to this beneficial program. Please help your child complete this application and return it with your child to their school counselor or mail it to the address below. For more information, please contact our program at 352-323-3606 or via email at TalentSearch@lssc.edu

ALL LSSC TALENT SEARCH ACTIVITIES ARE FREE TO EACH PARTICIPANT!

APPLICATION CHECKLIST: Please be sure this application is completed & signed by the student/applicant and parent/guardian.
- School Transcript - including current grades, grade-point average (GPA), and FSA scores (math, reading, and writing for 8th grade or 10th grade EOC in biology and algebra 1). You can obtain this from your guidance office.
- Copy of student’s social security card and/or copy of permanent resident card. (if applicable)
- Family Income Verification - parents/guardians will need to complete the section that applies to them and make sure to sign/date. If applicable provide proof of most recent income tax form or other appropriate documentation. Please note all documentations will need to be signed for verification purposes.
Lake-Sumter State College-- Educational Opportunity Programs--
9501 US HWY 441--Leesburg, FL 34788 352-323-3606

Part III: Family Income Information
THE LSSC Talent Search Program is a Federally Funded Program. For the applicant to qualify, verification of income is necessary. ALL INFORMATION IS CONFIDENTIAL AND FOR PROGRAM USE ONLY.
Check any of the services your family receives

Free School LunchReduced Lunch
How many family members (adults and children) are living in the household?
IF YOU DID FILE A TAX RETURN: (IF THIS APPLIES TO YOU, PLEASE INDICATE BELOW)
What was your family's total TAXABLE income last year?
(Do NOT leave blank. If you have no taxable income, enter 0)
PLEASE NOTE: See page 2, line 11b of your 2019 IRS tax form 1040 which documents the TAXABLE INCOME identified above -- total taxable family income must accompany this application.
On IRS Form: 1040 (2020) see line 15

By signing this income verification Form, I am verifying that the information that I have provided to the LSSC Talent Search program is true and correct to the best of my knowledge.
Parent/Guardian Name*

First NameLast Name
Date*

MonthDayYear
mm-dd-yyyy
Parent/Guardian Signature*

Clear
IF YOU DID NOT FILE A TAX RETURN: (IF THIS APPLIES TO YOU, PLEASE INDICATE BELOW)
Family household income was
(Do NOT leave blank)

My family had no taxable income. Our only support was from one of the following below. (check all that apply and insert amount)

	Receive?	Amount
Public Assistance (AFDC/TANF)
Social Security/SSI
Child Support
Disability
Veterans Benefits
Retirement
Food Stamps/WIC/SNAP
Unemployment
Vocational Rehabilitation
Other

Enter source if you selected "Other"
Documentation of the sources of income must be submitted for the application to be considered.

Browse Files

Cancelof
By signing this income verification Form, I am verifying that the information that I have provided to the LSSC Talent Search program is true and correct to the best of my knowledge.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
mm-dd-yyyy

Part IIII: Parent and Student Release Consent
TRACKING:
I hereby give permission for the LSSC Talent Search program to retrieve, store and report education verification information and student outcomes research about me that is gained from the National Clearinghouse and other services.

RESEARCH:
I hereby give permission for LSSC Talent Search program to collect and report pertinent information related to ongoing research questions in the TRiO Center. No identifiable data will be made public, but aggregate data may be published or presented including: academic measures (GPA & Test Scores), involvement at Lake-Sumter State College and in TRiO, and other educational or personal data that is relevant to the research.

MEDICAL RELEASE:
If medical services are needed by my son/daughter while participating in the LSSC Talent Search program activities or on field trips, I give my permission for my son/daughter to receive any medical services deemed necessary.

RECORDS RELEASE:
I authorize the LSSC Talent Search at LSSC to access and/or request copies of academic transcripts, grade reports, report cards, standardized test scores, contact information, and any other academic information from the middle and high schools and colleges I attend through my college graduation. I understand that the U.S. Department of Education funds the LSSC Talent Search program and will use these records to provide academic advisement and other services. I also understand that these records will be handled in a confidential manner and that they will be made available only to program staff and representatives from Federal and State Departments of Education. I/We also give permission to LSSC Talent Search to request the information identified above from each high school and college that our son or daughter attends. Note: A photocopy of this record release form should be accepted as an original and the date of the application has bearing when Lake-Sumter State College Talent Search Program requests the information.

ACTIVITY AND FIELD TRIP AUTHORIZATION/RELEASE:
As the parent/guardian of the applicant I do willingly execute this release in consideration of the educational benefit to be derived by my child in participating in LSSC Talent Search. I hereby release from liability and hold LSSC harmless from any and all claims and causes of action which might be brought by my child for loss of property, personal injury or death sustained by my child arising out of travel or activity conducted by or under the control of the College. I understand that the term “College” as used here in shall include the employees, administrators, agents, and Board of Trustees.

PHOTO RELEASE:
I, being the parent or guardian hereby consent that the photograph/video my son/daughter and/or to use their likeness in photograph(s)/video(s) in any and all of its publications, and in any and all other media, whether now known or hereafter existing controlled by LSSC Talent Search program, in perpetuity, and for other uses by the College or Program. I will make NO monetary or other claim against LSSC Talent Search program for the use of the photograph(s)/video(s).

By my signature below, I hereby agree to and fully understand all the above issues/conditions and do accept full responsibility as outlined above.
Student/Applicant Print Name*

First NameLast Name
Student/Applicant Signature*

Clear
Date*

MonthDayYear
mm-dd-yyyy
Parent/Guardian Print Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
mm-dd-yyyy