UNIVERSITY OF TEXAS AT SAN ANTONIO - DOC

Document Sample
UNIVERSITY OF TEXAS AT SAN ANTONIO - DOC Powered By Docstoc
					                   The University of Texas at San Antonio

       EDUCATIONAL TALENT SEARCH

                          High School
                     New Student Application




                                   Federal TRiO Program
                         Funded by the U.S. Department of Education




Please note that all applications are accepted for review regardless of race, color, national origin, religion, gender or
disability (U.S. Dept. of Education -GEPA Section 427).
                                       Educational Talent Search
                                        High School Application
                                              2006-2007
DIRECTIONS:
 Print clearly in ink.
 Be sure to answer all questions.
 Remember your parent/guardian’s signature is required.
 Please submit your completed application to your school counselor.

      OR Mail or fax your complete application to: The University of Texas at San Antonio
                                                    Educational Talent Search Project
                                                    6900 North Loop 1604 West
                                                    San Antonio, Texas 78249-0654
                                                    Phone: (210) 458-4085 Fax: (210) 458-7520

PART 1 - STUDENT APPLICANT INFORMATION (To be completed by the student):
Date:                                  Name:

Social Security #:                     School ID #:          Email Address:

High School:                                                 Current Grade Level:

Mailing Address: Street and Apt. No.

City                                                         State               Zip

Home Phone Number:                                           Alternative Phone Number:

Date of Birth:                                 Age:                              Gender:
                                                                                               Male          Female
Citizenship:
         United States Citizen   or     Permanent Resident - Please attach a copy of your card with this application.

Ethnic Background:
              ____ African American or Black ____ American Indian ____ Asian/Pacific Islander
              ____ Hispanic    ____ White ____
              ____ Other ___________________________________________________________

What are you favorite school subjects?                       What are your least favorite school subjects?


blac grades do you usually get?
What                                                         What classes (if any) do you think that you will need tutoring in?

What extracurricular activities are you involved in?




                                                                                                                      Page 2
What college or university do you plan to attend?                            What do you plan on majoring in?

                                            Undecided                                                                                          Undecided
What type of degree do you plan to obtain? You can check more than one.
 Undecided
 _____ High School Diploma          _____ Vocational or Technical School Certificate                            ______ Doctoral Degree
 _____ 4 Year College Degree         _____ Masters Degree
                                                                                                                                                 Undecided
What kind of career or job would you like to have?
                                                                                                                                                 Undecided
How did you find out about Educational Talent Search?



Who do you live with?
                 ____Mother & Father                     ____ Father          ____ Mother            ____ Guardian             ___ Other

Name of Guardian if you do not live with one of your parents: __________________________________________
What language is spoken at home?

                       ____ English        ____ Spanish         ____ Other______________________



                                                         RELEASE OF SCHOOL RECORDS

I authorize the Educational Talent Search Project of University of Texas at San Antonio to access and/or receive copies
of my academic transcripts, grade reports, report cards, TAKS scores, and any other academic information and test results
necessary to complete the program’s application process.

_____________________________________________                                                    __________
Student’s Signature                                                                              Date

Student’s Name: ______________________________________                                Social Security #: _______________________________

School: _____________________________________________                                 Current Grade: ____________________




The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g, and the Texas Public Information Act, Texas Governme nt Code §552.001 et seq.,
are respectively federal and state laws providing for the review and disclosure of student educational records. The University and Outreach Programs-TRIO
and GEAR UP will not permit access to or the release of personally identifiable information contained in student educational records to any party without the
written consent of the student, except as authorized by FERPA.




                                                                                                                                                      Page 3
                                                      Personal Essay
The personal essay is an important part of the selection process. In a 250 or more word essay, please discuss a person or
persons and/or events in your past that have encouraged or influenced you to go to college.




1.) Please turn in PART 1 of the application (pages 2-4) to your school counselor or the ETS Advisor for your
school.

2.) Give Part 2 of the application (ETS Recommendation Form) to one teacher or one counselor at your high
school. Remind your teacher or counselor to mail or fax these forms to our office as soon as possible.

3.) Give Part 3 of the application (ETS Parent Application) to your parents. Please return this to your school
counselor or the ETS Advisor for your school as soon as possible.

4.) You will be contacted after we received your completed application which must include Parts 1-3.

                                                                                                                Page 4
PART 2 – ETS RECOMMENDATION FORM (To be completed by Teacher or Counselor)
                                                      The University of Texas at San Antonio
                                                        Educational Talent Search Project
                                                            6900 North Loop 1604 West
                                                         San Antonio, Texas 78249-0654
                                                    Phone: (210) 458-4085 Fax: (210) 458-7520

                                                  Teacher/Counselor Recommendation Form

Dear Teacher/Counselor:

The student listed below is applying for admission into the Educational Talent Search (ETS) Project of the University of
Texas at San Antonio. Your assessment of the student’s conduct, character, and potential for postsecondary enrollment is
an integral element in the selection process. Please provide us with your assessment of this student’s desire and ability to
attend college after high school. Please mail the completed Recommendation Form to the above address or fax to (210)
458-7520. You may also return the completed Recommendation Form to the student in a sealed envelope to submit with
his/her completed student application. Should you have any questions or concerns, please feel free to contact us at (210)
458-4085. The time and effort you have taken to complete this form is sincerely appreciated.

Student’s Name                                          Grade Level             School __________________________
Class/Course Subject: _________________________________ Current Class/Course Grade

Please place an "x" in the appropriate column for each characteristic listed below:

                         STUDENT CHARACTERISTICS                                             N/A      EXCELLENT           AVERAGE            FAIR         POOR

  ABILITY TO MAINTAIN A 2.75 GPA OR HIGHER
  LEVEL OF MATURITY/INTEGRITY
  CITIZENSHIP & LEADERSHIP SKILLS
  INITIATIVE /WILLINGNESS TO LEARN NEW THINGS
  MOTIVATION/DESIRE TO ATTEND COLLEGE

Please provide comments on motivation, behavior, personality, strengths or weaknesses that you feel are pertinent to the
student’s participation in the Educational Talent Search Project. Additional comments may be written on the back.

                                                                                                                                  ___________________
_________________________________________________________________________________________________________________________________________________



Teacher’s/Counselor’s Printed Name & Title                                            School Telephone Number


Teacher’s/Counselor’s Signature                                                       Date
The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g, and the Texas Public Information Act, Texas Governme nt Code §552.001 et seq.,
are respectively federal and state laws providing for the review and disclosure of student educational records. The Universi ty and Outreach Programs-TRIO
and GEAR UP will not permit access to or the release of personally identifiable information contained in student educational records to any party without the
written consent of the student, except as authorized by FERPA.




                                                                                                                                                      Page 5
PART III – ETS PARENT APPLICATION (To Be Completed by Parent/Guardian):




    Dear Parent/Guardian:

    Your child has expressed an interest in participating in the Educational Talent Search (ETS) Project of The University of
    Texas at San Antonio. ETS is funded by the U.S. Department of Education and sponsored locally by the University of
    Texas at San Antonio and provides free college, career, and financial aid information to high school students each year.
    ETS identifies students who demonstrate an interest or desire to attend college and provides them with the motivation
    and support to enroll in a program of postsecondary education (college, university, technical or vocational school) after
    high school graduation.
    Educational Talent Search encourages and prepares students for postsecondary enrollment by providing assigned
    students in grades 9-12 with the following services and activities through group workshops and individual appointments
    held at designated target schools:
                    Academic Advisement
                    College Awareness Activities
                    Career Exploration Activities
                    Financial Aid Awareness Activities
                    Scholarship Information
                    College & Career Field Trips
                    Individual Assistance with College Admissions, Scholarship Applications & Financial Aid Forms
    In order to be eligible for selection as ETS participants, students must meet the following criterion:
                    Be a U.S Citizen or Permanent Resident Alien;
                    Be at least 11 years of age and in grades 9-12;
                    Commit to remain in the ETS Project until HS graduation;
                    Demonstrate an interest or desire to attend college.

    Please complete this part of the application and return it to the address or fax number listed above. You may also
    return it to your child’s school counselor. All completed applications will be reviewed and eligible applicants
    contacted within 14 days regarding their status.

    Thank you for your interest in the Educational Talent Search Project. Please call us at (210) 458-4085 if you have
    any questions or need additional assistance.
    Sincerely,


    Rita Cortez,
    Executive Director, Educational Talent Search

The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g, and the Texas Public Information Act, Texas Government Code §552.001 et seq.,
are respectively federal and state laws providing for the review and disclosure of student educational records. The Universi ty and Outreach Programs-TRIO
and GEAR UP will not permit access to or the release of personally identifiable information contained in student educational records to any pa rty without the
written consent of the student, except as authorized by FERPA.


                                                                                                                                                       Page 6
PART III – ETS PARENT APPLICATION (To Be Completed by Parent/Guardian):

Student’s Name:                                                              School & Current Grade Level:

Mother’s Name:                                                               Father’s Name:

Mother’s Address:                                                            Father’s Address:

Mother’s Home Phone Number:                                                  Father’s Home Phone Number:

Mother’s Cell Phone/Pager Number:                                            Father’s Cell Phone/Pager Number:


Household and Income Information:

     1.    Has either parent received a 4-year degree from a college or university?                                     No                  Yes

     2.    Number of people living in your household? ________

     3.    What is your household’s Annual Taxable Income* for the previous year? ______________________

     Please note that Taxable Income is usually lower than Adjustable Gross Income which is located at the bottom of the
     first page of most tax forms. Annual Taxable Income can be found on second page of most tax forms.
     Please call 210-458-4085 if you have any questions or need assistance locating this information

     I certify that the all the information provided above is correct and true to the best of my knowledge.

                 _____________________________________________                                                      __________
                  Parent’s Signature                                                                                Date

                                                         RELEASE OF SCHOOL RECORDS

I authorize the Educational Talent Search Project of the University of Texas at San Antonio to access and/or receive
copies of my student’s academic transcripts, grade reports, report cards, TAKS scores, and any other academic information
and test results necessary to complete the program’s application process.

_____________________________________________                                         __________
Parent’s Signature                                                                    Date

Student’s Name: ____________________________________                                  Social Security #: _______________________________

School: _____________________________________________

The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g, and the Texas Public Information Act, Texas Government Code §552.001 et seq.,
are respectively federal and state laws providing for the review and disclosure of student educational records. The Universi ty and Outreach Programs-TRIO
and GEAR UP will not permit access to or the release of personally identifiable information contained in student educational records to any party without the
written consent of the student, except as authorized by FERPA.




                                                                                                                                                      Page 7

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:3/20/2012
language:
pages:7