Palo Alto College-TS 2-Application Form

PAC Talent Search- South San Antonio & Somerset HS

Student Application
Si desea ver el formulario en español, cambie el idioma en la esquina superior derecha.
Name:*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
mm-dd-yyyy
Current Age:*
Sex:*

MaleFemale
Pronouns:
School currently attending:*

Somerset High SchoolSouth San Antonio HSOther
Current Grade:

9th10th11th12th
Cohort (Ex: Class of 2026):*
School ID:*
Student Cell Phone*
(999)999-9999
Student Email:*
example@example.com
What T-shirt size do you prefer:

SMLXL2XL3XL4XL
What is the best way to reach you: Call, Text, Email*

CallTextEmail

Check all portions of the latest STAAR exam you have taken:*

	Passed	Not Passed	Not Taken
Reading
Writing
Math
Science
History

What High School academic track are you pursuing?*

Foundation High School Program (FLEX/ Alternative Schedule)Foundation with Endorsement (Most Common)Distinguished Level of Achievement (Early College / Dual Enrollment
(Optional) Are you experiencing an extenuating situation?

Foster CareLiving with a legal guardianExperiencing homelessness- (Not having a regular, safe place to live or sleep)Disability- (any condition that affects daily life, learning, or mobility)
Do you receive free or reduced lunch?*

YesNo
You must be a U.S. citizen or legal resident to participate in the TRIO Talent Search Program- The following questions are required by the Department of Education.
Are you a U.S. Citizen?*

YesNo, but I am a permanent residentNo, I am NOT a U.S citizen or a permanent resident
Country and Place of Birth: Country, City -State
Ethnic Background (The Department of Education requires this information for statistical purposes.)
Are you Hispanic or Latino?*

YesNo
If no, please indicate your race:*

Black/African-AmericanAmerican-Indian/AlaskaNative AsianWhite/CaucasianNative Hawaiian/Pacific IslandOther
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you in another TRIO program, such as Upward Bound or GearUp?*

YesNo
Who do you live with?*

Parent(s)Single ParentParent and StepparentGuardian (non-parent relative or legal guardian)Foster Parent(s)Other
Marital Status of Parent(s):*

Married or live togetherDivorced or separatedSingle (never married)WidowedRemarried
Primary Language spoken at home:*

EnglishSpanishOther
Biological Parent/ Guardian Name (Parent 1):*

First NameLast Name
Home Phone:*
(999)999-9999
Cell:*
(999)999-9999
Email:*
example@example.com
Occupation (Job or Profession):*
Highest level of education completed by Parent 1:*

Less than high schoolSome high schoolGEDSome collegeBachelor’s degreeHigh school diplomaTechnical schoolAssociate’s degreeMaster’s degree
Name of college:
Biological Parent/Guardian’s Name (Parent 2):

First NameLast Name
Home Phone:
(999)999-9999
Cell:
(999)999-9999
Email:
example@example.com
Occupation (Job or Profession):*
Highest level of education completed by Parent 2:*

Less than high schoolSome high schoolGEDSome collegeBachelor’s degreeHigh school diplomaTechnical schoolAssociate’s degreeMaster’s degree
Name of college:
The following section is to assess how we can best support you.

Needs Assessment

*Academic Assistance and Advisement
What is your best subject*
What subject needs improvement?*
Are you satisfied with your current grades? *

YesNoSometimes
Why?*
Would you be interested in tutoring if it were provided:*

YesNo
Do you prefer in person tutoring or online?*

In personOnline
When would you be most likely to attend tutoring? *

Before schoolDuring lunchAfter schoolWeekendsOther
Do you need help with any of the following? (Check all that apply)

Study skills and test prepTime management and organizationNote-takingHomework completionMotivation or focusOther (please specify)
College Awareness and Admissions Assistance
What are your plans for after high school? (Check any that apply.)*

Attend a 4-year universityAttend a 2-year collegeAttend a trade/technical schoolJoin the militaryWork full-timeNot sure yetOther
Do you need help with: (Check all that apply)

Choosing a college or programCompleting college applicationsWriting essays for admission or scholarshipsPreparing for college entrance exams (SAT/ACT/TSI)
Financial Aid Information and Application Assistance
How do you plan to pay for college? (Check any that apply)*

Personal/family savingsScholarshipsGrantsParent LoansStudent LoansJob/workNot Sure
Would you like help with: (Check all that apply)

Completing FAFSA/TASFAFinding scholarshipsUnderstanding college costsBudgeting for college
Career Awareness and Exploration
What types of career(s) are you interested in?*
Would you like to explore: (Check all that apply)

Job shadowing or internshipsCareer interest assessmentsTalking with professionals in your field of interest
Financial Literacy

Financial literacy means understanding and using skills like budgeting, saving, and managing money.
While in our program, what financial topics would you be interested in learning about?*
While in our program, what financial topics interest you most? * (Check all that apply)

Budgeting and savingBuilding credit and using credit wiselyUnderstanding student loansInvesting basicsManaging money in college
Social Emotional Need

Social Emotional learning is the process of developing self-awareness, self-control, and communication with those around you.
When talking about your well-being, what topics would you like to learn more about?*
When it comes to your well-being, which topics would you like to learn more about? * (Check all that apply)

Stress managementTime management and balanceHealthy relationshipsCommunication skillsConfidence and self-esteemCoping with change or challenges
Student Agreement

As a TRIO Talent Search participant, I agree to:
- Meet with my TS Senior Advisor/Director at least 4 times each school year.
- Communicate with my Advisor if I need help, face challenges, or can’t attend an event.
- Attend school regularly, avoid behavioral issues, and give my best effort in all classes.
- Show respect to teachers, staff, advisors, and peers.
- Participate in workshops (in-person or Zoom with camera on) at least once every two months.
- Submit progress reports/report cards each semester and transcripts once a year (no judgment, we’re here to help improve your grades).
- Let TS know if I’m falling behind or considering dropping out.
- Inform TS of any school changes, address changes, or new phone numbers.
*I have read the bullets above and agree to these terms- Initial*
In addition, I understand that:
- Being highly active in the program gives me more chances to attend field trips.
- PAC TRIO Talent Search is a long-term commitment, and I will have access to resources until I graduate high school.
- After graduation, PAC TRIO Talent Search will stay in contact for 6 years to collect follow-up data.
- While it’s not required to go to college or technical school immediately after graduation, it is the program’s expectation.
I have read the bullets above and understand- Initial*
By signing below, I accept the terms and want to be considered for the Palo Alto College’s TRIO Talent Search program- South San and Somerset HS.
Student Signature:*

Clear
Date*

MonthDayYear
mm-dd-yyyy
Thank you for finishing your portion of the PAC TRIO Talent Search application! Please have your PARENT or GUARDIAN scan the next QR code or click the link in your email to COMPLETE your application. Incomplete applications will be contacted but not considered until all documentation is summitted. If you need any assistance please contact us at (210) 486-3184 or email Ms. Scheiler at ltijerina26@alamo.edu

Kindly,

Ms. Scheiler

Grant Project Director

PAC Talent Search -South San Antonio & Somerset

PAC Talent Search- South San Antonio & Somerset HS