Educational Talent Search City

2023 - 2024
Application for FREE College Planning and Financial Aid Services.

All the following information is kept absolutely confidential under the regulations of the U.S. Department of Education and is used to establish eligibility for FREE services for college admissions and financial aid.

Student Information:
School Name : *
Student ID
Current School Grade : *
Last Name : *
First Name : *
Middle Initial :
SSN (Optional) :
Date of Birth : *
Gender *
Contact Information
Address (Number/St/Apt#) :
City :
State :
Zip Code :
Student Cell :
Parent Cell 1 :
Parent Cell 2:
Home Phone :
Student Email :
Alternate Email :
Demographic Information
Are You Hispanic/Latino :
Ethnic Background :
Residency/Citizenship : *
Are you currently in any other ETS, UB or EOC college-prep program?
Do you speak a language other than English at home ?
if YES, specify :
Careers and/or colleges interest :
Do you have any siblings at this school ?

Needs Assessment

Talent Search City Services I Need (Check off all that apply)
College admission requirements and process (post-secondary education information)
A - G college-prep course selection (rigorous)
Financial aid information (grants, scholarships, loan forgiveness, etc.)
Financial planning for postsecondary education for students or parents (financial and economic literacy connection)
Completing scholarship applications
Connection to tutoring
College entrance exam preparation (SAT, PSAT and/or ACT)
Career counseling, information, and activities
Personal counseling
Workshops and counseling for my family
Mentoring opportunities
Completing college applications, when in 12th
Completing financial aid applications (FAFSA) when in 12th
Secondary school re-entry information / Alternative Education Programs
Access to technology in my home (Computer, Internet, Etc.)
Other
(specify):

Student Signature

I, the student, certify that the information provided above is correct

*
Please select a signature verification type.

 


Parent(s)/Legal Guardian(s) Statement
(who live with student) If this does not apply, speak to your Wahupa ETS City advisor.

The following information is kept absolutely confidential under the regulations of the U.S. Department of Education and is used to establish eligibility for FREE services for college admisions and financial aid.
Parent/Legal Guardian Name :
Relation to Student :
Parent/Legal Guardian Name :
Relation to Student :
Did the natural or adoptive parent(s) who live with the student receive a bachelor's degree ?
If YES, specify name of institution:
Number in Household's (include yourself, spouse and children) :
Last Year Tax Information :
Income Amount :

Parent Signature

I, the parent, give permission for my child to participate in person and/or virtually in Wahupa ETS City to receive assistance with college admissions and financial aid. I verify and certify that all information on this form/Upload is correct.  I authorize my child's school and/or district to verify and release his/her transcript and other academic information to Wahupa Educational Talent Search which is required to establish eligible services for college admissions. I authorize the National Student Clearinghouse and post-secondary institutions to release his/her post-secondary enrollment information with or without a Social Security number.

Parent Signature *
Please select a signature verification type.