RETURN COMPLETED APPLICATION TO:

TRiO Talent Search

Alpena Community College, BTC 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

TRiO Talent Search Application 2019-2020

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?

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

OR

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

OR

Veterans

AND

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

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

SAY YES TO TTS! Your successful future awaits you!

**All in complete applications will be returned. Please complete each section - it is required by our grant.**

T

Dear Parent/Guardian: Thank you for taking the time to fill out a TRiO Talent Search (TTS) application for your

student. TTS is a free program available at your school to help your student have a successful College career. Filling out a

TTS application 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:

Help match your student’s interests with potential career choices Provide support and advising in courses challenging to your student

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)

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. All of our schools must maintain a ratio of 70:30 (70% LI/FG to 30% that do not meet the LI/FG criteria)

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 your 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 available at no cost to you, 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 at least 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 2019-2020 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:

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

Are there other children in grades 6 thru 12 you would like to have TTS services (not currently enrolled in TTS)? ☐ Yes ☐ No Applications are available on our website: acctalentsearch.com and/or by request (at your school or (989)358-7348).

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 TTS uses Constant Contact and EZ Texting as means of communication using the phone numbers and emails provided.

I understand that Participation is voluntary in all TTS workshops—attendance indicates consent.

I certify that this application has been filled out completely and accurately 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 2019-2020 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) ______________________________

4. TRiO TALENT SEARCH GRANT INFORMATION

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).

5. TRiO TALENT SEARCH SERVICES OFFERED Please check all the services you would like the applicant to receive

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.

☐ 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 referral

6. 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

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

Free ☐

Yes,

Reduced ☐ No

If YES, I 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,

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 (Federal 1040), benefit statements from Dept. of Social Services, Social Security,

Veterans, Pension, or Unemployment. Please send ONLY the pages of your 1040 form which shows the number of

dependents (p1) and states your household’s taxable income (line 10). Do not send more than 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 1-6 complete

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

Agreement for Admission & Participation in TRiO Talent Search

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

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 below.

You must return a 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 (AIP). Participants must follow through with activities stated in the Academic

Improvement Plan; failure to comply with the AIP may result in dismissal from TRiO Talent Search. 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. Seniors are expected to meet with their advisors more

often to ensure maximum benefit from our program. 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 usage is tracked. This includes Constant Contact (email) and EZ Texting, these tools allow us to stay in

better contact with our participants. Participants are asked to provide an email address and check it often for important information,

responding as necessary. Mandatory surveys may be sent out to all participants.

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 cohort, per

Grant.

Please keep the TRiO Talent Search updated with any changes to address, phone number or email address. You will receive important

communications throughout the year. We must have an accurate contact information on file (email, mailing address, phone number).

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 TTS office at (989)358-7348.

*there may be an 8th grade exclusive campus visit. Rules remain the same no matter what grade the field trip participant is in.

P

TRiO TALENT SEARCH: How to Receive Assistance

Complete and return this application with the signed Agreement. 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:

College Admissions Assistance/

Application Fee Waivers

Financial Literacy Workshops

Career Related Summer Day Camps

Career Information/Assessments

SAT Fee Waivers

ACT Fee Waivers

Academic Enrichment Activities

Service Projects/ Leadership

Development

Portfolio Assistance

Financial Aid/TIP Information

Selecting the right college for you

Tutoring referrals

Individual Advising

Study Skills/Life Management Training

Goal Setting and Reaching

Field Trips—College and Cultural

Personal Development

Job Shadowing

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—18,735 ☐ $45,256—51,885

☐ 1040 ☐ $18,736—25,365 ☐ $51,886—58,515

☐ Did not file income tax forms ☐ $25,366—31,995 ☐ $58,516—65,145

☐ $31,996—38,625 ☐ $65,146 and up

☐ $38,626—45,255

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.