Northern Arizona University-TS-Application Form

  • The NAU Talent Search Program is funded by the U.S. Department of Education. The program is designed to encourage and prepare participants to attend college. All information shared with the NAU Talent Search program is STRICTLY CONFIDENTIAL and is used solely for placement in the Talent Search Program.

    If you have any question please feel free to contact us at 928-523-3305, ets@nau.edu, visit our website www.nau.edu/ets, or address any mail to PO Box 5907 Flagstaff, AZ 86011

    • STUDENT INFORMATION 
    • Date of Birth:*
       - -
    • US Citizen:*
    • Gender*
    • Ethnicity:*
    • I am a Talent Search
    • Date started with Talent Search:
       - -
    • Are you enrolled in any other programs aside from NAU Talent Search?*
    • If yes, which other program are you enrolled in?
    • SCHOOL INFORMATION 
    • Grade level (check Only One):*
    • Are you enrolled in Dual enrollment at your HS? (CAVIAT, NAVIT, JTED)
    • PARENT INFORMATION 
    • Indicate highest level of education your Parent/Guardian 1 has completed:*
    • Indicate highest level of education your Parent/Guardian 2 has completed:
    • ELIGIBILITY/ INCOME INFORMATION 
    • Living Status:*
    • Household Status:*
    • Rows
    • Check your head of household NET INCOME on the appropriate line below. (This is your take home income amount, AFTER TAXES)*
    • Rows
    • Parent/Guardian & Student Signatures 

    • Please provide your signature and date if you agree to the following terms:

      I give my child permission to participate in all activities provided by the Talent Search Program.


      I give permission to schools and postsecondary institutions for the release of information pertaining to my child’s records to Talent Search for the purpose of recording grades, reviewing test performance, determining satisfactory progress toward high school graduation, as well as tracking postsecondary enrollment and financial aid status.


      I have provided accurate information on this eligibility form

    • Clear
    • Date:*
       - -
    • Clear
    • Date:*
       - -
    • STUDENT SELF-ANALYSIS 
    • Please check any difficulties that may prevent you from completing this school year:*
    • Check the area(s) in which you would like assistance:*
    • Please indicate the workshops you are interested in attending:*
    • If Talent Search hosted workshops, would your parent or guardian participate?
    • Rows

    • Photo Release Information

      I hereby release Northern Arizona University, its legal representative and all persons acting under its permission or authority, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in taking of said picture(s) or video or in any subsequent processing thereof, as well as any publication thereof. I declare that
      my child is not of legal age and I have every right to contract in my child’s name, as their parent or legal guardian, in the above regard.

    • Date
       - -
    • Clear
    • Date
       - -
    • Clear
    • Submit 
    • Should be Empty: