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  • TRiO Talent Search Application 2020-2021

    • Student Information  
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    • Family Information  

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    • Family Income  
    • DCCC Talent Search
      297 DCCC Road
      Thomasville, NC 27360
      Office (336) 249-8186 ext. 6302
      Fax (336) 224-0240
      Email: talentsearch@davidsonccc.edu

    • Child's Medical History  
    • I certify that all the information above is correct and true to the best of my knowledge. I understand the information is confidential and will only be used for verification for this program.
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    • Release Form  
    • Davidson County Community College TRiO Talent Search Program Release Form

    • The information requested on this form will be utilized to assist us in providing free services for your child. To provide the most effective services, we may need to obtain information from several sources, such as high schools, colleges, testing agencies, counselors, admissions and financial aid officers, social workers, etc. All information received will be kept confidential in compliance with the Family Educational Rights and Privacy Act.

      I. School Records
      As the parent and/or legal guardian of {studentsName}, I grant Talent Search permission to obtain school records, progress reports, and test results from the secondary school my child is attending. I will also permit Talent Search staff to speak with teachers, counselors, and other administrators at my child’s school in order to obtain and exchange information as part of the services my child will receive from the Talent Search Program. I authorize the Talent Search Program to access copies of my child’s progress reports and/or test scores that are necessary to assist my son/daughter in achieving his/her educational goals.

      II. Waiver of Liability
      As parent and legal guardian of {studentsName}, I authorize and permit my child to participate in field trips, activities, and events offered by the Talent Search Program. I understand that my child may be leaving his/her school campus or Davidson County Community College and may be transported by the Talent Search staff of Davidson County Community College. I agree that the Lexington City Board of Education, the Thomasville City Board of Education, Davidson County Community College, and Talent Search staff, or anyone associated with the Lexington City Board of Education, the Thomasville City Board of Education, and Davidson County Community College will not be held liable for any loss, injury, or death related to any field trips or events. Further, I agree to hold the Lexington City Board of Education, the Thomasville City Board of Education, Davidson County Community College, Talent Search staff, advisory committee members, officers, staff, and volunteers, harmless from any claims whatsoever occasioned in any of the situations that I have agreed, that Talent Search and Davidson County Community College, the Lexington City Board of Education and the Thomasville City Board of Education shall not be held liable.

      III. Medical Release
      In the event that my child, {studentsName}, is involved in a medical emergency, I authorize the Talent Search staff to make decisions regarding immediate medical attention (hospitalization, administration of prescribed medications, doctor treatment, etc.) if they are unable to contact me for verbal authorization.

    • IV. Emergency Contacts

    • V. Media Release
      Periodically, students participating in the Talent Search Program events may be photographed, filmed, or interviewed. As the parent and/or legal guardian of {studentsName}, I grant permission for my child to participate in photographs, films, or interviews as they pertain to Talent Search and I understand that such pictures, film, or interviews may be used to promote or publicize the Talent Search events or demonstrate how federal funds are being used to assist students.

    • VI. 

      I, {parentguardianName},authorize DCCC TRIO Talent Search to send communication via email, text message, school messenger, REMIND App to my email, students email, cell phone, student cell phone, or home phone. I understand that text messaging rates may apply to any text messages received. I also understand that I or DCCC TRIO Talent Search may revoke this permission in writing at any time. I agree not to hold DCCC TRIO Talent Search liable for any electronic messaging charges or fees generated by this service. I further agree that in the event emails, cell phone and other information changes, that I will inform DCCC TRIO Talent Search.

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    • Submit  
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