Case Western Reserve University-TS-Application 2020

  • Educational Talent Search Application

    It is very important that this application be completed accurately and neatly.  All information is strictly confidential and will be maintained in the TRiO Talent Search Office. 
    • Student Information 
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    • Gender
    • Are you a citizen of the United States?
    • Ethnicity

    • Have you ever been a part of TRIO?
    • Student Education 
    • I am currently enrolled in school:
    • Grade

    • FOR ETS SERVICES: (STUDENTS, YOU MUST FILL OUT THIS SECTION)

    • Please indicate the areas in which you wish to receive assistance from the ETS program:
    • Family Information 

    • Mother/Guardian

    • Highest Educational Level Completed

    • Father/Guardian

    • Highest Educational Level Completed
    • Marital Status

    • Please complete all sections.  This should be completed by the parent/guardian with whom the student lives, or by the parent/guardian providing at least 50% of student’s financial support.

    • Please indicate your Annual Taxable or Non-Taxable Income below:*

    • Additional information:

      (To be completed Only if it applies to your current situation)

    • If you are under 18, are you a ward of the State of Ohio (foster care placement?
    • Have you aged out of the foster care system?
    • Presently, where are you living? (CHECK ONE)

    • Release Information 
    • Clear
    •  - -

    • I certify that the above information is correct and true to the best of my knowledge.

      I agree that Case Western Reserve University Educational Talent Search staff or volunteers associated with the college will not be held liable for any loss, injury, or death related to any field trip, activity or event. I authorize the ETS staff access to any and all academic records available from the school the student/applicant attends for the purpose of determining eligibility and providing educational services. I authorize and permit my child to participate in field trips, activities, and events sponsored and conducted by ETS. I grant permission for my child to access networked computer services such and the internet and email. I grant permission to the ETS office to take photos of my child for the purpose of promoting the Educational Talent Search program and Case Western Reserve University. In the event that my child is involved in a medical emergency, I authorize the ETS staff to make decisions regarding immediate medical attention (hospitalization, administration of prescribed medications, doctor treatment etc.), if I am unable to be contacted or reached for verbal authorization.

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