

Student First Name *
Student Last Name *
Target School * Northeast Middle School Washburn Senior High School Humboldt Senior High Community of Peace Academy Edison Senior High School
Current Grade Level *
Parent/Guardian #1 Name *
Street Address *
City *
State *
Zip *
Email
Cell Phone
Contact 1 Relationship Mother Father Stepmother Stepfather Grandmother Grandfather Sibling Other Relative Friend Unknown Legal Guardian/Foster Parent
Parent/Guardian #2 Name
Street Address (if different than above)
City
State
Zip Code
Email
Cell Phone
Contact 2 Relationship Mother Father Stepmother Stepfather Grandmother Grandfather Sibling Other Relative Friend Unknown Legal Guardian/Foster Parent
In order to determine if your student is potential first generation, please provide the following information regarding parent's level of higher education.
Does either parent have a 4 year degree from a college or university in the United States? * Yes No
Family Income Information Please complete for the household in which the student resides the majority of the time. This financial information allows TRIO ETS to determine if a student qualifies as Low Income.
For families who have filed 2024 tax forms: The following is a guide to the maximum amount of income that a student’s family can earn and still be eligible for the TRIO Educational Talent Search Program. This guide is based upon taxable income from the 2024 Federal Tax Forms. Number of Exemptions claimed on income tax Form 1040A, box 6d 1 $22,590 5 $54,870 2 $30,660 6 $62,940 3 $38, 730 7 $71,010 4 $46,800 * $79,080 To find this number refer to Taxable Income 2024 Federal tax form 1040, line 11b * indicates independent status ** For families with more than 8 exemptions, add $8,070 for each additional member https://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html
If you know your family's 2024 gross income, please write here: *
Number of exemptions claimed in 2024 (Use the number from Form 1040 for the 2024 tax year) *
Does your family qualify for a free lunch?
If Over Income: If a student's family income exceeds the above amounts, his/her/their application will be considered if neither parent/guardian has completed a 4 year degree in the United States or, if space available, by school personnel recommendations.
Text messages (SMS) have grown in popularity over the years. In some cases, it has become a primary source of digital messaging, for both students and organizations communications. St. Olaf College - Educational Talent Search would like to send messages to your student. We text students reminders about workshops, events, and field trips. If you would not like your student to receive text message from St. Olaf College - Educational Talent Search check the box below. Otherwise leave the check box blank.
Cell Phone Opt Out
Student Photo Release
I authorize the use of my student's photo by ETS for publicity and recruitment purpose (newsletters, website, etc...)
Yes No
Parent/Student Agreement
I certify that the information I have provided is complete and correct to the best of my knowledge. St Olaf Educational Talent Search has my permission to access the following information for the purposes of determining program eligibility and the reasons specified; Transcripts/test scores for advising purposes and to assess credits and graduation process; Class schedules to contact and involve students in program services and activities; Enrollment data to verify target school attendance; Free/Reduced Lunch data to verify program eligibility. I understand that I may withdraw permission to access information at any time through written notification. The “Release of Records” is essential and required in order for St Olaf Educational Talent Search to gather student data for the purpose of reporting to the Department of Education. Therefore, I/we authorize ETS representatives to communicate with the representatives from postsecondary institutions on my behalf for up to six years post high school graduation. This also authorizes the postsecondary institution in which student is enrolled to release information about admissions, college academic enrollment and degree completion. This information is used for program reporting and verification of postsecondary completion. This information is private and protected under the General Education Provision Act as well as the Family Education Rights and Privacy Act.
Student Signature * Signature Type: Simple Start Over Reset Signature Pad Click here to start signing. Tool Dialog Close Pencil Reset Signature: (Type in your full name) I agree to the terms included.
Parent Signature * Signature Type: Simple Start Over Reset Signature Pad Click here to start signing. Tool Dialog Close Pencil Reset Signature: (Type in your full name) I agree to the terms included.