Boise State University-TS 1-Application Form

TRIO Educational Talent Search Student Application
TRIO Educational Talent Search is a federally funded program ($855,979 yearly) funded by the United States Department of Education to help encourage first-generation, limited income students further their education. As a TRIO Educational Talent Search student, you will be provided with information about college, careers, study skills, financial aid, and participate in college and career field trips. ETS students must be citizens or permanent residents of the United States.

All TRIO services are provided at no cost to participating students.
Student Information
Name:*

First NameMILast Name
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student’s Phone:*
(999)999-9999
Does this phone number receive texts?*

YesNo
Email Address:*
example@example.com
Social Security Number (TRIO ETS keeps this information confidential. It is necessary to process the application):*
999-99-9999
Sex (as assigned on birth certificate):*

MF
Date of Birth*

MonthDayYear
mm-dd-yyyy
Select Your School
Current Grade:*

789101112
Race/Ethnicity (please check all boxes that the applicant considers himself or herself):*

American Indian or Alaska Native, non-Hispanic/LatinoAsian, non-Hispanic/LatinoBlack or African American, non-Hispanic/LatinoHispanic/Latino of any raceWhite, non-Hispanic/LatinoNative Hawaiian or other Pacific Islander, non-Hispanic/LatinoTwo or more races, non-Hispanic/LatinoRace or Ethnicity Unknown
Citizenship:*

I am a U.S. CitizenI am a Permanent Resident (Please attach a copy of your permanent resident registration card or I-94 form)
Please attach a copy of your permanent resident registration card or I-94 form

Cancelof
Limited English Proficiency: Is a language other than English spoken at home?*

NoYes
Please indicate which language(s)
Parent Information

BSU TRIO ETS is required to verify that our participants meet federal criteria based on educational background and household income level. ETS ensures that all information provided will remain confidential.

Parent 1 (must be biological or adoptive)
Name:*

First NameLast Name
Relation:*

MotherFatherStep-fatherStep-motherLegal GuardianOther
Check below if address is the same as the student address

Address is the same as the student address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone
(999)999-9999
Does this phone number receive texts?

YesNo
Email Address:
example@example.com
Highest U.S education level completed:*

No collegeSome collegeCollege graduate
Level of college completed:*

AssociatesBachelorsMastersDoctorate
Parent 2
Name:

First NameLast Name
Relation:

MotherFatherStep-fatherStep-motherLegal GuardianOther
Check below if address is the same as the student address

Address is the same as the student address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone
(999)999-9999
Does this phone number receive texts?

YesNo
Email Address:
example@example.com
Highest U.S education level completed:

No collegeSome collegeCollege graduate
Level of college completed:

AssociatesBachelorsMastersDoctorate
Household Information and Taxable Income (this information is required to process the application):
Number of people in your household:*
Is the student eligible for free or reduced lunch?*

YesNo
My taxable income (after all deductions) as listed on my most recent tax form (refer to IRS Form 1040, line 15 or IRS Form SR, line 15):*
$
OR
We did not file a tax return or the tax form cannot be located – listed is my (parental) monthly gross pay:
$
Certification and Signatures

I/We certify that the information provided on the application, including the race, ethnicity, citizenship is true and correct.
I/We authorize the release of my school records (transcripts, standardized test scores, special needs documentation) to TRIO ETS.
I/we consent to the disclosure of any personally identifiable information as defined by FERPA of my education records to the Boise State University TRIO ETS program staff for the purpose of confirmation of my postsecondary enrollment status as reported on the National Student Clearinghouse Student Tracker. This authorization will remain in effect for six years following my high school graduation.
I/We authorize the release of my school and free/reduced lunch records to the TRIO ETS program.
I/We authorize the release and exchange of student financial aid information from colleges and federal government to TRIO ETS.
I/We understand that the completion of this application does not guarantee acceptance in the TRIO ETS program.
I/We understand that the information provided on this application will be held in confidence by the TRIO ETS program.
I/We authorize the use of my image in TRIO ETS publications and media releases to the TRIO ETS program.
I/We authorize TRIO ETS to transport my son or daughter as the situation arises if no other transportation means are available and after the TRIO ETS staff person has contacted or has attempted to contact the student’s parents or guardians.
I/We understand that if I need accommodation for a disability to participate in TRIO ETS, or any of its scheduled activities, I must contact Educational Talent Search at (208) 426-3572 at least 30 working days prior to the activity.
I plan to go to college immediately following high school graduation.
We the parents of above stated student agree to encourage our son/daughter to attend college immediately following high school graduation.
Student Signature:*

Clear
Date:*

MonthDayYear
mm-dd-yyyy
Parent Signature:*

Clear
Date:*

MonthDayYear
mm-dd-yyyy
Attach a current transcript or (if in middle school) a grade report. Incomplete applications will delay processing and student services. Para información en español, por favor llame al 208-426-3572.
Please upload a transcript or grade report

Cancelof
BSU TRIO ETS Programs, 1910 University Dr. Boise, ID 83725-1770 https://www.boisestate.edu/education-trio-ets/
Telephone: 208-426-3572 Fax: 208-426-4334

TRIO Educational Talent Search Student Application