RETURN COMPLETED APPLICATION TO: ACC TRiO Talent Search Besser Technical Center Room 108 665 Johnson Street Alpena, Michigan 49707 Questions or concerns? Feel free to contact us at: Phone (989) 358-7348 • Toll Free 1-888-468-6222 ext. 7348 Fax (989) 358-7555 • or email us at ttsoffice@alpenacc.edu

www.acctalentsearch.com

What is TRiO Talent Search?

TTS is a funded program of the U.S. Department of Education intended to encourage students to become more successful in school, and to pursue post-secondary opportunities.

Who Can Qualify?

i An individual from a family on a tight budget whose income qualifies under federal guidelines

OR

i A person whose parents have not completed a four-year college program

OR

i Veterans

AND

i A citizen of the United States who attends the following targeted public schools: Alcona, Alpena, Atlanta, AuGres-Sims, Cheboygan, Fairview, Hale, Hillman Johannesburg-Lewiston, Mio AuSable, Onaway, Oscoda, Posen, Rogers City, Tawas, and Whittemore-Prescott School Districts.

i For 6th through 12th Grade Students, Alternative/Adult ED and Adults who have not completed their high school education

T

SAY YES TO TTS! Your successful future awaits you!

****All incomplete applications will be returned. Please answer every question – it is required!****

TRiO Talent Search Application 2018-2019

Dear Parent/Guardian: Thank you for taking the time to fill out a TRiO Talent Search (TTS) Application for your student. It is one of the most important things you can do to help your student have a smooth road to College!

Here at TTS your student’s school success is very important to us! We would like to help you prepare your student for a successful College experience by offering wide variety of workshops aimed at helping improve your child’s overall educational health such as: � Study Skills � Time Management � Budgeting Skills � Financial Aid Navigation Skills (available to you, too)

If your student is brought into the TTS program, meeting with their TTS advisor is vital!1 TRiO Talent Search advisors can:

x Help match your student’s interests with potential career choices x Provide support and tutoring in courses challenging to your student x Recommend universities that offer the best courses for your student’s interests

TRiO Talent Search also offers Campus Visits2, free to all TTS participants (grades 9-12)!3 Some of the Universities we visit include:� University of Michigan (Ann Arbor & Flint) � Northern Michigan University � Saginaw Valley State University � Ferris State University

� Grand Valley State University � Central Michigan University � Michigan State University � Lake Superior State University

Please note that we are a federally funded, grant-based program. As such we are responsible for verifying income, and promise to keep all information confidential.

It is only used for income verification and for classification (see below).

TRiO Talent Search’s primary target is low-income first-generation students (LI-FG). However, we are allowed to work with a smaller number of students that are not in this category (LI, or FG, or neither), but they may be put on a short-term Waiting List. Please don’t let this discourage you from applying. We do our best to bring students in off the Waiting List as soon as we can! Because we are a popular program and do have a Waiting List, don’t wait to send in your application in the attached, self-addressed envelope.

You may think that you have time to wait—but you don’t! The earlier we receive an application, the greater opportunity you have to get your student into the program and on a smoother road to College! So start early, 6th graders welcome! If you have any questions, or would like more information, call us at (989) 358-7348, or send us an email at ttsoffice@alpenacc.edu. You can also checkout our website (listed below) for valuable resources and to see who we are and what we can do for your student!

1 TTS participants must meet with their TTS advisor a minimum of three times per school year, or be discharged from the TTS program. 2 Campus Visits vary by school year and by University availability. 3 Students pay a deposit for a seat on the bus. They will receive the deposit back when they are on the bus. If they cannot go on the trip, they must call the TTS Office one week prior to the trip date, in order to have their deposit returned.

TRiO may be able to help your student(s) Realize the College

Dream!

TRiO Talent Search Application 2018-2019 All information is required!

1.STUDENT INFORMATION – Please print using ink Last Name: First

Name: MI:

Address: City: State: Zip:

Phone: SSN: - - Date of Birth: / /

Email: (UIC#)/Student’s School ID:

School: Current Grade: Gender: ☐ M ☐ F

Racial group: ☐ White or

Caucasian ☐ Black or African American

☐ American Indian or Alaskan Native ☐ Asian ☐ Hispanic

or Latino ☐ Native Hawaiian or Other Pacific Islander

U.S. Citizen: ☐ Yes ☐ No Do you have a physical handicap or learning disability? ☐ Yes ☐ No

College of interest: Career Interest:

X X Student Signature Date

2a. PARENT/GUARDIAN INFORMATION – Please print Parent/Guardian(1) should indicate Custodial Parent/Guardian

Parent/ Guardian1 Last Name:

Parent/ Guardian2 Last Name:

Parent/ Guardian1 First Name:

Parent/ Guardian2 First Name:

Address: Address:

City/St/Zip: City/St/Zip:

Phone 1: Cell Home Work

Phone 1: Cell Home Work

Phone 2: Cell Home Work Phone 2:

Cell Home Work

Email: Email: Ê Do either of the applicant’s parents, with whom they now reside or resided with before becoming independent, hold a bachelor’s degree (B.A. or .B.S.) from a four-year college or university. ☐ Yes ☐ No Ê Are there other children in grades 6 thru 12 you would like to have TTS services (not currently enrolled in TTS)? ☐ Yes ☐ No

Name/Gr: Name/Gr: Name/Gr: 2b. ALTERNATIVE CONTACT – Please Print Contact information for someone NOT living with you.

Name: Address:

City/St/Zip: Phone:

2c. PARENT/GUARDIAN AGREEMENT

I understand that TRiO Talent Search is a pre-college program that works with students that demonstrate college potential. TTS reserves the right to terminate from the TTS program any student who subsequently demonstrates that they no longer have the potential for college success. As a parent/guardian I agree to limit School Absences for my child.

I understand that Participation is voluntary in all TTS workshops—attendance indicates consent. I certify that this application has been filled out completely and correctly to the best of my knowledge. I authorize release of transcripts to TRiO Talent Search and use of participant’s photograph in TTS/TRiO publications.

X X Parent/Guardian Signature Date

TRiO Talent Search Application 2018-2019 All information is required!

3. HOUSEHOLD INFORMATION Check all that apply Size of Household (including self): ____

Does the applicant have Medical Coverage: ☐ Yes ☐ No Are you employed at this time? ☐ Yes ☐ No

Is the applicant: a ward of state? ☐ Yes ☐ No in foster care? ☐ Yes ☐ No Homeless? ☐ Yes ☐ No

Please indicate if you are receiving any of the following services:(or check Not Applicable): ☐ Not Applicable ☐ Medicaid ☐ Social Security Benefits ☐ Unemployment Compensation ☐ Other (please specify):_____________ ☐ Public Assistance (Food Stamps, ADC, AFDC, General Assistance) ______________________________

4a. TRiO TALENT SEARCH GRANT INFORMATION This section must be completed if the applicant is under 18 years of age or is under 18 years of age and resides with a parent/guardian. If you are an applicant over 18 years of age, complete this application as if you are the applicant and the parent. What is Talent Search? TRiO Talent Search (TTS) is a program designed to assist persons who have academic potential and are interested in returning to school or continuing their education. TTS is funded entirely by the U.S. Department of Education (approximate numbers: North Grant $352,794 and South Grant $250,920 for fiscal year 2018-19). 4b. TRiO TALENT SEARCH SERVICES OFFERED Please check all the services you would like the applicant to receive

☐ Study Skills ☐ Volunteering/Service Projects ☐ ACT/SAT Fee Waivers ☐ Career Information ☐ Job Shadowing ☐ College Visits ☐ Academic Advising ☐ Financial Aid Application Assistance ☐ Portfolio Assistance ☐ Personal Advising ☐ College Admissions Assistance ☐ Life Management Training ☐ Time Management Skills ☐ College Application Fee Waivers ☐ Tutoring

5. INCOME VERIFICATION All information is kept strictly CONFIDENTIAL Confidentiality of Information

The Federal Government, through the Department of Education, requires the personal information that you give to the Talent Search Program (TS). The Family and Education Rights and Privacy Act (FERPA) protects this information and determines how it may be used or shared. No one may see the information unless he or she works with or for the TS program, is specifically authorized to determine your eligibility to participate in the program, or helps the government measure your success in the program. The Department of Education has authority to gather information to help make the Talent Search program a better program (20 USC 1231a). Great care is taken to make sure that the personal information collected for TS students is kept confidential. Information of records relating to individual TS students or groups of students who are participating or who have participated in TS projects shall not be disclosed to any person, group, agency, or organization unless a student’s parent or legal guardian provides written permission or a court subpoenas the information. In the event TS contract with the Department of Education terminates, all TS records in possession will remain confidential and shall be disposed of only by the authority of and in accordance with procedures approved by the Director, Division of TRIO Programs

ÊDoes the applicant participate in/qualify for the school’s free or reduced meals program? ☐ Yes, Free ☐ Yes,

Reduced ☐ No

If YES,

ÊI authorize my school district to share information regarding my child’s participation in the Free/Reduced Lunch program for the purpose of income verification for the TRiO Talent Search program. ☐ Yes ☐ No

You do not need to provide income verification. Our office will request verification of lunch status.

If NO, Ê You will need to send a copy of your income verification with this application. Acceptable types are as follows: Current Federal IRS income tax forms (1040, 1040A, 1040 EZ), benefit statements from Dept. of Social Services, Social Security, Veterans, Pension, or Unemployment. Please send only the pages of your 1040 form which state your household’s taxable income and number of dependents (pages 1 & 2). X X Student Signature Date

X X Parent/Guardian Signature Date

Application Check List Have you done the following before sending your application?

☐ Student’s SSN & DOB listed ☐ Tax forms are included (if necessary- p. 1&2) ☐ Sections 1-5 complete

☐ Alt. contact information completed ☐ Signatures of both Parent/Guardian & Student ☐ Agreement for Admission signed

Agreement for Admission & Participation in TRiO Talent Search

articipation in the TRiO Talent Search program is an honor and privilege. Included below are procedures and explanation for both participants and parent/guardians. Please indicate that you have read and agree to the included information by signing page two. You must return one copy to our office to be considered “in good standing” with the program.

Academics: Academic success leading to postsecondary education and completion is the goal of the TRiO Talent Search program. Therefore, participant grades are closely and regularly monitored by our office and advisors. Students MUST maintain a 2.0 grade point average in core course, as well as an overall 2.0 GPA. Attendance: You cannot learn if you aren’t in school. Poor attendance in school sets a precedent for poor attendance in college and/or the workforce. As such, Talent Search participants are expected to exemplify good attendance. Please make the TRiO Talent Search office aware of extenuating circumstances that impact the participant’s attendance by calling (989)358-7348 or emailing ttsoffice@alpenacc.edu. Probationary Status: If a participant’s GPA falls below 2.0 or absences are excessive, the participant will be placed on probation by the TRiO Talent Search program. The participant will then have a mandatory meeting with his or her advisor where they will discuss and complete an Academic Improvement Plan. Participants must follow through with activities stated in the Academic Improvement Plan. Advisors will be monitoring the participant’s progress and academic improvement. While a participant is on probationary status, he or she will not be able to take advantage of some of the wonderful opportunities offered, including campus visit field trips and summer camps, because it is imperative that the participant is in school. It is the goal of TRiO Talent Search to help students recognize the importance of their education and the steps necessary to bring grades up to satisfactory level. Expectations: It is required that all participants meet with their advisor a minimum of three times each academic year. Advisor schedules for each school will be posted within the first two weeks of school. It is the responsibility of each participant to meet this obligation. TRiO Talent Search is proud to provide many resources to assist students in college and career preparation. Participants are expected to utilize these resources, as use is tracked. Our 12th grade participants are required to complete a Postsecondary Educational Survey (PES). It is critical that 12th grade participants provide accurate information in a timely manner on this form, as graduates will be tracked for six years post-graduation, per Grant. Please keep the TRiO Talent Search updated with any changes to address, phone number or email address. You will receive important mailings throughout the year. We must have an accurate address on file. Field Trip Policies & Procedures: College campus visits and cultural field trips are an incredible opportunity for TRiO Talent Search participants. Participants in grades 9 and above will be encouraged to visit college campuses to experience first-hand the campus atmosphere, academics programs, and financial aid opportunities unique to each campus. Participants will be responsible for a $10 deposit (unless otherwise specified) to registered for each field trip. Advisors will give registered participants a permission slip and an itinerary. Participants are required to be ON THE BUS prior to the listed departure time from their stop. This is critical, as the bus will stay on schedule and will not wait for participants beyond the time listed. When boarding the bus, the participant will give the advisor on the bus his or her completed permission slip, and the $10 deposit will be returned. Participants must adhere to the behavior and dress code listed on the permission slip. Field trip attendees are representatives of the TRiO Talent Search program, and must present themselves in a favorable way at all times. If a participant is registered for a field trip and there is a change and he or she will not be able to attend, it is imperative that either the participant or a parent/guardian call the TRiO Talent Search office at (989)358-7348 prior to the time that the bus would depart. If this call is not made in a timely fashion, the participant will not be refunded the $10 deposit, and he or she will be placed on the “No Show-No Go” list for the remainder of the academic year and will not be allowed on subsequent field trips.

Participation in the TRiO Talent Search program is an elite honor. It is a partnership between the program, the participant, and the parent/guardian(s). In order for a participant to enjoy a rewarding experience in the program, all involved parties must be committed to meeting expectations. If you have any questions, please contact the office at (989)358-7348.

Signing below indicates that you have read and agree to abide by this agreement.

X X Student Signature Date

X X Parent/Guardian Signature Date

P

.

FOR OFFICE USE ONLY

_______U.S. Citizen or Permanent Resident ________Need _______Completed 5th grade or 11-27 years old or meets criteria for adult participation ________Signatures

☐ LI/FG ☐ LI ☐ FG ☐ OTHER _____Verified

☐ Add ☐ Waiting List ☐ Pending ☐ Not Eligible (reason)_______________________________________

Director’s initials________________ Date________________

Notes:_________________________________________________________________________________________

FAMILY TAXABLE INCOME

Taxable Income (amount after deductions)

Federal IRS Income Tax Form 20___

And

☐ $0—18,210 ☐ $44,131—50,610 ☐ 1040 ☐ $18,211—24,690 ☐ $50,611—57,090 ☐ 1040 A ☐ $24,691—31,630 ☐ $57,091—63,570 ☐ 1040 EZ ☐ $31,631—37,650 ☐ $63,571 and up ☐ Did not file income tax forms ☐ $37,651—44,130

i Study Skills/Life Management Training or Personal Development

i Academic Enrichment Activities

i Financial Literacy Workshops� i Service Projects/ Leadership Development�i Career Related Summer Day Camps� i Field Trips—College and Cultural�i Goal Setting and Reaching i Portfolio Assistance i Career Information/Assessments i College Admissions Assistance/

Application Fee Waivers i Individual Advising�i SAT Fee Waivers i Job Shadowing i ACT Fee Waivers i Financial Aid/TIP Information

TRiO TALENT SEARCH: How to Receive Assistance

i Complete and return this application with the signed Agreement. i Call the TTS office (989.358.7348) for additional applications and/or an appointment, or

contact your school’s TTS advisor.

Through TRiO Talent Search, you can begin living your dream TODAY!

We believe that each student has talent, regardless of grades, popularity, or athletic ability.

TTS assists in identifying and developing your particular talents. We provide you with FREE opportunities in the following areas:

“Realizing the College Dream”

Thank you for taking the time to fill out this application. You have just completed an important step in getting your student on the road to a successful college career.

We look forward to helping your student realize their college dream.