Coastal Bend College-TS-Application Form Logo
  • 2024-2025 TRIO Talent Search Application

    Address: 704 Coyote Trail, Room 107, Alice, TX 78332
    Email: talentsearchalice@coastalbend.edu | Office: (361) 664-2981 ext.3081

    • Student Information 
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    • Parent/Guardian Information 
    • Income and Family Verification 
    • COASTAL BEND COLLEGE DOES NOT DISCRIMINATE ON THE BASIS OF RACE, CREED, COLOR, NATIONAL ORIGIN, SEX, AGE, OR DISABILITY. TALENT SEARCH IS A 100% FEDERALLY FUNDED PROGRAM WITH AN ANNUAL AWARD OF $355,395.00.

    • WE ARE REQUIRED TO USE THIS INFORMATION TO PROCESS YOUR APPLICATION. ALL INFORMATION IS STRICTLY CONFIDENTIAL AND IS USED ONLY TO DETERMINE ELIGIBILITY FOR TALENT SEARCH SERVICES.
      PLEASE PROVIDE INFORMATION FOR THE LAST TAX YEAR.


    • Parent/Student Consent for Services 
    • CONSENT FOR SERVICES/TREATMENT:
      I understand Talent Search services including but not limited to: academic advising, tutoring referrals, cultural enrichment activities, career and college exploration; will be provided as needed. Services are provided by Talent Search (TS) staff (advisors, volunteers, mentors, tutors, and teachers), and are designed to help students achieve their academic and personal goals. These services are provided free of charge and at the student’s will.

      I authorize diagnostic medical and/or surgical treatment on my child as may be deemed medically necessary in order to assure the safety of my child. It is distinctly agreed and understood that the attending physician and appropriate staff shall not be responsible in any way for any consequences from said diagnostic, medical and/or surgical treatment and is fully released from any and all claims and demands whatsoever which arise, grow out of or be incident to such diagnosis, treatment or surgery insofar as the law allows provided that these services are performed with ordinary care and the best of their ability. Talent Search does not provide payment for medical expenses.

      BEHAVIOR AGREEMENT:
      I understand that the rules I am held responsible to at my school campus are the same rules that apply during any event with the Talent Search Program. If any rule is broken I understand if it becomes necessary, the TS staff will call my parents and they will be required to pick me up IMMEDIATELY. I also understand that failure to abide by any of the recognized rules may result in my dismissal from the Coastal Bend College Talent Search Program.

    • I consent and verify the information provided above is true to the best of my knowledge.

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    • FERPA Consent to Release Student Information 
    • Please provide information from the educational records of

    • (Note: this Consent does not cover medical records held solely by Student Health Services or the Counseling Center – contact those offices for consent forms.) 



    • I understand the information may be released orally or in the form of copies of written records, as preferred by the requester. I have a right to inspect any written records released pursuant to this Consent (except for parents’ financial records and certain letters of recommendation for which the student waived inspection rights). I understand I may revoke this Consent upon providing written notice to TRIO Talent Search. I further understand that until this revocation is made, this consent shall remain in effect and my educational records will continue to be provided to TRIO Talent Search for the specific purpose described above
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    • Submit 
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