Thank you for your interest in our TRIO Talent Search program!  Please complete this application as thoroughly as possible. All information input will be secure.

You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at (806) 651-5353.

Gracias por su interés en nuestro programa TRIO Talent Search! Complete esta aplicación lo más detalladamente posible.Toda la entrada de información será segura.

 No puede guardar y reiniciar esta aplicación. Es posible que desee revisar los elementos incluidos, tomarse un tiempo para tomar notas y recopilar los documentos requeridos, y luego regresar para enviar su aplicación. Si tiene alguna pregunta, llame a nuestra oficina al (806) 651-5353.
Student Information:
Last Name *
First Name *
Middle Name
Date of Birth *
Race/Ethnicity *
Status *
Permanent Resident Card copy
Social Security Number *
Address *
Address 2
City *
State *
Zip *
Student Cell Phone
Student Email *
Academic Information:
Current Grade Level *
Current School *
Current Age *
Parent/Legal Guardian Information:
Parents Highest Completed Education Level *
How many people in your household (including student applicant)? *
Household TAXABLE Income Range *
Most Recent IRS 1040
Additional Eligibility
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Student Signature *
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Parent/Guardian Signature *
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Signature: (Type in your full name)
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Referred by: (List Name, School, and Grade of student who referred you, if applicable)