Southeastern Community College-TS-Application Form

APPLICATION/RELEASE FORM

Southeastern Community College / 2022-2023 School Year
Please fill out completely!
DATE

MonthDayYear
mm-dd-yyyy
GRADE
SCHOOL

PERMISSION FOR ACCESS TO EDUCATIONAL RECORDS
I hereby give permission for the Educational Talent Search Program to have access to any educational records which are needed for full program services. I also give permission to the postsecondary institution I attend to release admission and financial award information to the SCC Educational Talent Search Program. I grant SCC permission to reprint my child's photograph for publication, website, electronic and digital media, publicity, and advertising.
Student Signature

Clear
Date

MonthDayYear
mm-dd-yyyy
Parent Signature

Clear
Date

MonthDayYear
mm-dd-yyyy
ETS assures that applications for participation in the Talent Search project will be distributed to a variety of organizations and agencies inclusive of youth centers, senior citizen centers, ethnic organizations and gender-identified organizations encompassing foster and homeless youth that represent the diversity required by GEPA 427.

Individual Education Plan 2021-2022
EXPECTED GRADUATION DATE

MonthDayYear
mm-dd-yyyy
A. What are your plans after high school?

1. Four-year college2. Community College3. Get a job4. Join Military5. Undecided6. Other

B. What colleges are you interested in attending?

C. What college campuses have you visited?

D. In what extra-curricular activities have you participated?
E. Have you taken the SAT?

YesNo
If so, what was your composite score?
Do you plan on taking the SAT?

YesNo
Have you taken the ACT?

YesNo
If so, what was your composite score?
Do you plan on taking the ACT?

YesNo
F. What are your hobbies?
G. What are your favorite subjects?
H. Please list any subject(s) in which you are experiencing trouble/poor grades.
Educational Talent Search Program offers the following services: (Please check any you need help with!)

Career InformationCollege Information/ToursFinancial Aid InformationScholarship InformationAcademic/Career CounselingTutoringCollege Application AssistanceFinancial Aid Application AssistancePersonal CounselingStudy Skills InformationOther (Specify)
If you selected 'Tutoring', List Subject(s)

APPLICATION/RELEASE FORM