University Of Arkansas-Fayetteville-CPTS-TS-Application Form

Talent Search - Application for Participation

Talent Search is a federally-funded TRIO program sponsored by the University of Arkansas. Our program is designed to help 6th-12th grade students with academic and career interests and assist with preparing for college. Although we are affiliated with the University of Arkansas, the goal of our program is to prepare students for college, wherever they may choose to attend.

All services are offered at NO COST through a partnership with your school. Representatives from the program work with students through their school throughout the year to assist them with their educational goals and help them identify and achieve their full potential for academic excellence. Participants are eligible for a number of services including group and individual academic advising in the areas of study skills, career exploration, preparation for college, decision making, self-awareness, college visits, financial aid and more. Students are selected for the program based upon their academic need for these services and upon qualifications set by the U.S. Department of Education. In order for you to assist your child in qualifying, we are asking for your help in completing the application process. Please work with your student as they complete their portion of the application (the Personal Academic/Career Plan).

Talent Search is a joint venture funded through the U.S. Department of Education and the University of Arkansas and is provided as a free service through your local school. Because of program funding regulations and our need to serve a diversity of students, we need you to either provide us with a copy of your most recent tax form or provide us with your taxable income amount (after deductions) as opposed to your total annual income (gross income). Any financial information you provide will be used for statistical information for the Talent Search program and will be held strictly confidential. School officials will not be provided with these records.

Thank you for taking the time to help your child have access to this beneficial program. To apply, please complete all question fields below. Feel free to contact me, a staff member, or school counselor if you have questions.

Evelyn Fuller
Director, Talent Search Programs
efuller@uark.edu
P: (479) 575-2628

Parent/Guardian Information - Section 2 (with whom student lives)
Parent/Guardian #1*

First NameLast Name
Occupation
Phone*
(999)999-9999
Parent/Guardian #2

First NameLast Name
Occupation
Phone
(999)999-9999
Please check if you receive any of the following:

Soc. Sec/SSIFamily Assist. (TANF)Child SupportFree LunchFood Stamps (SNAP)Other
Family Size and Taxable Income
Please list the total # of people in your household*
Because of program funding regulations and our need to serve a diversity of students, we need you to either provide us with a copy of your most recent tax form OR provide us with your taxable income (after deductions) as opposed to your total annual income (gross income). Please check one option below.*

I will UPLOAD a copy of my tax return (page 1, line 15 of the IRS 1040 form)I will refer to my tax return and ENTER the amount shown (on page 1, line 15 of IRS 1040 form)
Copy of my tax return

Cancelof
My tax return amount shown
TAXABLE Income Amount (see line 15 of the IRS 1040 form). For eligibility purposes, Talent Search programs are required by the U.S. Department of Education to collect income information on all participants. Your student cannot be admitted without this information.

Did either of the student's natural or adoptive parents/guardians, with whom the student lives, graduate with a four-year baccalaureate degree? (Do not include 2-year degrees or certificates)*

	Yes/No/NA	If yes, list the name of the college/university	and degree received
Father
Mother

AUTHORIZATION FOR RELEASE OF INFORMATION

I authorize the University of Arkansas Talent Search program to receive copies of my child’s transcripts, grade reports, test scores, financial aid awards, and other records necessary for application review and, if accepted, for continued program participation and post-secondary enrollment/graduation tracking. I understand that a minimum grade point average of 2.50 (C+) is required to be accepted and retained in the program (ELL/ESOL students, 2.00 or C).
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
mm-dd-yyyy