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Program Overview

Dear Parent or Guardian:

Thank you for your interest in the Talent Search program. Talent Search is a free US Department of Education funded program awarded to College Bridge Cafe serving students at Fordham High School for the Arts, Fordham Leadership Academy and Renaissance High School for Musical Theater and Arts. The program is designed to assist first generation and low-income high school students with completing high school and pursuing post-secondary programs.

Participants are eligible to receive the following services:

Preparation of education plans and academic advising
Mentoring programs and development/support workshops
After school tutorial/homework assistance
College campus tours
Summer Academy
Career exploration and cultural enrichment activities
Information on post-secondary education
Providing and assisting in the completion of the college admissions and financial aid application
SAT/ACT test preparatory sessions
Regents prep classes

If you are interested in becoming a member of the program this application must be completed and signed by you and your student. Once we receive your application, we will follow up with a phone call to verify your information and participation in the program.

Thank you!

The Talent Search Team

www.collegebridgecafe.org

Program Overview

Estimados Padres o Guardianes:

Gracias por su interés en el programa de Talent Search. Talent Search es un programa gratuito que está financiado por el Departamento de Educación cuyo recursos son otorgado a College Bridge Café que atiende a estudiantes en Fordham High School for the Arts, Fordham Leadership Academy y Renaissance High School for Musical Theater and Arts. El programa está diseñado para ayudar a estudiantes de secundaria, que son de primera generación y de bajos ingresos, a completar la escuela secundaria y seguir estudios postsecundarios.

Los participantes son elegibles para recibir los siguientes servicios:

● Elaboración de planes educativos y asesoramiento académica

● Programas de tutoría y talleres de desarrollo/apoyo

● Tutoría después de la escuela/asistencia con la tarea

● Recorridos por los campuses universitarios

● Academia de Verano

● Exploración de carreras y actividades de enriquecimiento cultural

● Información sobre la educación postsecundaria

● Proporcionar y ayudar a completar la solicitud de admisión a la universidad y

de ayuda financiera

● Sesiones preparatorias para los exámenes SAT/ACT

● Clases de preparación para los exámenes de Regents

Si está interesado en unirse al programa, esta solicitud debe ser completada y firmada por usted y su estudiante. Una vez que recibamos su solicitud, haremos un seguimiento por llamada telefónica con su asesor del programa para verificar su información y participación en el programa.

¡Gracias!

El equipo de Talent Search

www.collegebridgecafe.org

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Student Information

First Name

Middle Initial

Last Name

Social Security#

Student ID/OSIS#

Address

Street

City

State

Zip Code

Student Email

Student Cell #

Home Telephone #

Date of Birth

Gender

Current GPA

SAT Score

ACT Score

Current School

Current Grade

Expected HS Graduation Year

How did you hear about the TRIO Talent Search Program?

Other Source

Why are you interested in joining the Talent Search Program?

Ethnicity

Are You Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Citizenship

Citizenship (check one)

U.S. CitizenPermanent ResidentEligible Non-Citizen

Enter A#:

Parent (s)/Guardian (s) Information:

Currently, student lives with

Parent 1 Information

Guardian/ Parent 1’s First Name:

Guardian/ Parent 1’s Last Name:

Guardian/ Parent 1's Cell #

Guardian/ Parent 1's Email:

Guardian/ Parent 1's Work Phone:

Highest grade completed by Parent 1?

Did Parent 1 earn a college degree?

If yes, please select one

Parent 2 Information

Guardian/ Parent 2's First Name:

Guardian/ Parent 2's Last Name:

Guardian/ Parent 2's Cell#:

Guardian/ Parent 2's Email:

Guardian/ Parent 2's Work Phone:

Highest grade completed by Parent 2?

Did Parent 2 earn a college degree?

If yes, please select one

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Family Income Information

Number of people living in your household including yourself (student)

Did your family file a Federal Income Tax Return Last Year? Yes or No

If No, please estimate the amount of all income you received during the last

year (i.e. SSI, Unemployment, Disability, etc.)

If Yes: Please select the annual taxable income range for your family

Release of Records/Information

The Family Educational Rights and Privacy Act (FERPA) is a federal law that protects the privacy of student education records created or maintained by a school that receives federal funds. Completion of this document authorizes the disclosure and use of education records as described below. Completion also authorizes you to discuss this information with representatives of the organization named below entitled to receive said information.

I, the undersigned (parent’s signature needed only if student is under 18 years of age), do hereby authorize TRIO Talent Search, College Bridge Cafe to obtain and disclose my complete education records (Elementary, Middle School, Secondary, & Post-Secondary), as well as copies of my/my child’s school district and other partnering agency records under the above student’s name including but not limited to the following:

Grades reports and transcripts
Psychological & Educational testing
Free & reduced lunch eligibility
ADA information

Suspension & Disciplinary Records
FAFSA confirmation documents,
IEPS

School health records
Discipline
College Acceptance Information

ACTIVITIES/PROMOTIONAL RELEASE

As a parent or guardian signing this form, I give permission for my child to participate in educational program-sponsored activities. I also give permission for the use of my child’s name and/or photograph for editorial, promotional, recruitment and/or educational purposes. I will do my best to encourage and participate in my child’s Talent Search activities.

STUDENT AGREEMENT

If accepted to the program, I agree to attain all personal, academic and career goals that I and the College Bridge Cafe TRIO Talent Search staff set for myself and do my best to attend meetings and activities. Students are expected to follow the same rules of conduct and dress code established by your school district. This is to include: 1) No alcohol, drugs, or smoking at any time; 2) No profanity or horse play at any time; and 3) Fighting and disrespectful behavior toward others will not be tolerated.

I also agree to treat myself, other students and staff with respect and be a positive representative of the College Bridge Cafe TRIO Talent Search program. Students violating this policy shall be subject to disciplinary sanctions which may include suspension and/or expulsion from the TRiO Educational Talent Search Program.

Student First Name

Student Last Name

I certify that I have checked the box below indicating that I agree to the terms of the student agreement and attest that the information on this form and any attachment is true, complete and accurate to the best of my knowledge

Agree