Lone Star College-Tomball-TS-Application Form

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Thank you for your interest in Lone Star College Tomball’s TRIO Talent Search Program!

Please review the checklist below to ensure that you have all of the required documents in order to complete the application online.
1. Picture of Student's Most Recent Grades, Progress Report, Report Card, or Transcript
2. Picture of Student's Birth Certificate, Passport, or Permanent Resident Card
If you have any questions, please let us know and we will be happy to help.

Sincerely,

TRIO Talent Search Staff
Lone Star College Tomball
Office Phone: 281-655-3619
Email: TC-TRIOTS@lonestar.edu
- Name*
  
  FirstM.I.Last
- Student High School or Intermediate School ID Number*
- School*
- School*
- Grade Level*
- Grade Level*
- What year will you graduate high school?*
- Age*
- Date of Birth*
  
  MonthDayYear
  mm-dd-yyyy
- Gender*
- Gender*
- Mailing Address*
  
  Street Address (Include Apt # if Applicable)
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Student Phone # (If Applicable)
  (999)999-999
- Student's School Email Address*
  example@example.com
- Student's Personal Email Address
  example@example.com
- Are you Hispanic or Latino?*
  
  YesNo
- Please select your race/ethnic background.*
  
  American Indian or Alaska NativeBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteAsianHispanic or LatinoTwo or more races
- What is the primary language spoken at home?*
- Student T-Shirt Size (Adult Sizing)
- What services are you receiving in school? (for ex: Dual Credit, Advanced Placement, English as a Second Language, or Special Education)
- Did someone refer you to the Tomball TRIO Talent Search Program? If so, List their name and their relationship to you.
- If you have a sibling in the Tomball TRIO Talent Search Program, please list their name.
- Are you a U.S. Citizen or National or a Permanent Resident of the U.S.? If you are not a U.S. Citizen/National or U.S. Permanent Resident please contact the TRIO TS office to determine if you meet the Department of Education citizenship requirements for the program.*
  
  I am a United States Citizen/NationalI am a Permanent Resident of the United States
- What are your plans after you graduate from high school?*
- List any extra-curricular activities (ex: athletics, music, band, church, etc.) that you are involved in
- Please check all of the areas that you would like information on or need help with:
- College Awareness
  
  PSAT/SAT/ACTFinancial AidCampus ToursScholarship Information
- Academic Information
  
  Study SkillsTest-taking SkillsTime ManagementCourse Selection
- Tutoring
  
  MathematicsEnglishScienceAP Courses
- Personal Development
  
  Peer PressureSelf-EsteemCommunication SkillsSocial Media Dangers
- We have a mentorship program where new TRIO ETS members are matched up with experienced TRIO ETS members. If space is available, would you like to be matched with a mentor?
  
  YesNo
- With whom does the student primarily live?*
- Is the student currently in foster care?
  
  YesNo
- Parent/Guardian #1
- Name*
- Relationship*
- Parent Phone*
  (999)999-9999
- Parent Email*
  example@example.com
- Bachelor's Degree Received?*
  
  YesNo
- Parent/Guardian #2 (If you only live with Parent/Guardian #1, skip this section)
- Name
- Relationship
- Parent Phone
  (999)999-9999
- Parent Email
  example@example.com
- Bachelor's Degree Received?
  
  YesNo
- Are you currently a homeless youth?
  
  YesNo
- Does your child qualify for the Free/Reduced Lunch Program?*
  
  YesNo
- Please check only one box and fill in the information below for the most recent tax year.*
  
  I filed taxes for the year belowI did not file taxes for the year below
- Tax Year*
- What was the total number of people living in your household for this tax year?*
- Total TAXABLE Income - Do not report your gross or total income. The taxable income is the amount after deductions that may be found on your 1040 tax returns. See line 15 of your 2020 or 2021 taxes*
- Total TAXABLE Income - Do not report your gross or total income. The taxable income is the amount after deductions that may be found on your 1040 tax returns. See line 15 of your 2020 taxes.*
- By signing my name on the signature line below, I certify that the information in this application is complete and accurate to the best of my knowledge. I understand that this information will be used to verify eligibility and to provide data in compliance with federal regulations. I understand that falsification of information may be subject to legal action. I also give my consent to allow the Lone Star College Tomball TRIO Talent Search Program to obtain transcripts and any educational records that pertain to my child’s academic progress. I also give my consent for my child’s captured photography, videotape, or digital image to be used. This includes but is not limited to print, internet, video, or digital publication, and waive any rights to compensation in any form. I understand that Lone Star College is not required to obtain my permission to reuse or republish this image, video, and or audio recording in the future. If my child is accepted into the program, I will strive to ensure that my child maintains an active TRIO TS participant.
- Parent/Guardian Signature*
  
  Clear
- Date
  
  MonthDayYear
  mm-dd-yyyy
- By signing my name on the signature line below, I certify that the information in this application is complete and accurate to the best of my knowledge. I understand that this information will be used to verify eligibility and to provide data in compliance with federal regulations. I understand that falsification of information may be subject to legal action. If accepted into the TRIO TS program, I will strive to continually improve my academic performance and maintain an active TRIO TS participant. I also give my consent for my captured photography, videotape, or digital image to be used. This includes but is not limited to print, internet, video, or digital publication, and waive any rights to compensation in any form. I understand that Lone Star College is not required to obtain my permission to reuse or republish this image, video, and or audio recording in the future.
- Student Signature*
  
  Clear
- Date
  
  MonthDayYear
  mm-dd-yyyy
- All information will be kept confidential and used only to determine eligibility for the TRIO ETS program.
- Picture of Student's Most Recent Grades, Progress Report, Report Card, or Transcript
  
  Cancelof
- Picture of Student's Birth Certificate, Passport, or Permanent Resident Card
  
  Cancelof