TRIO Talent Search
Needs Assessment
Date
*
-
Month
-
Day
Year
mm-dd-yyyy
Student Name
*
First Name
Last Name
Grade
*
School
*
Student Phone
*
(999)999-9999
Student Personal Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list any or all college(s) which you are interested in obtaining information for or attending:
*
Please check which of the following services you would like to receive from TRIO Talent Search.
*
Study Skills
Computer Skills
Test Taking Workshops (ACT, TSI)
Time Management
Tutoring (if checked you'll receive login information)
Personal Development Workshops
Attend a Career Fair/College Fair
Financial Literacy/Money Management
Career Planning/Career Exploration
Other Suggestions
*
Check any of the following workshops you need and/or would like to attend in order to help accomplish your educational and career goals after high school.
*
Attend a Student Leadership Conference
College Admissions and Preparation Counseling
College Campus Tours
Course Selection for college classes
Applying for financial aid to pay for college
Applying for scholarships for college
Possible Career/Job Choice(s):
*
Back
Next
Save
Submit
Please verify that you are human
*
Save
Submit
Should be Empty: