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ETS Application for Enrollment (Parent Information) 2020-2021
Educational Opportunity Centers, Inc.-Educational Talent Search Program
Student's Name
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First Name
Last Name
Student's Date of Birth
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Month
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Day
Year
Date
Student's School
*
Parent Information
Mother/Guardian Name
Mother/Guardian Occupation
Mother/Guardian Phone Number
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Area Code
Phone Number
Mother/Guardian E-mail
example@example.com
Mother/Guardian Highest Education Completed
*
Middle School
High School
GED
Associate Degree (2 year)
Bachelor Degree (4 year)
Master Degree (Law, Medical, Master's)
N/A
Father/Guardian Name
Father/Guardian Occupation
Father/Guardian Phone Number
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Area Code
Phone Number
Father/Guardian E-mail
example@example.com
Father/Guardian Highest Education Completed
*
Middle School
High School
GED
Associate Degree (2 year)
Bachelor Degree (4 year)
Graduate Degree (Law, Medical, Master's)
N/A
Choose Family Size
*
1--$19,320
5--$46,560
2--$26,130
6--$53,370
3--$32,940
7--$60,180
4--$39,750
8--$66,990
9+ add 6,810 for each addtional family member
Is Family's Taxable Income ABOVE or BELOW what is next to Family Size Number
*
Above
Below
Taxable Income is the amount on 2018 IRS Form 1040, line 10; or 2019's IRS form 1040, line 11b.
PARENT/GUARDIAN SIGNATURE: I declare that I am the parent/guardian of the student on this application. I authorize Educational Talent Search (ETS) to obtain documents relative to and consistent with my son/daughter's education. Such documents may include a copy of the student's school transcript, test scores, the ACT/SAT or GED scores. I authorize ETS to obtain information related to my application for receipt of financial aid (federal, state, or other), a copy of my award notification for the financial aid office, and college admission information. I authorize ETS to release or to obtain information from any agency or program providing supplemental service. We have answered all the ETS general application questions to the best of our knowledge. I would like my son/daughter to be part of the ETS program. I hereby give permission for my child to participate in all Educational Talent Search activities. In addition, I hereby give permission for my child's name, photograph, work, and/or statements to be used by Educational Talent Search for promotional, publicity, or instructional purposes. Sign the box below
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Date
*
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Month
-
Day
Year
Date
STUDENT SIGNATURE I declare that I am the student on this application. I authorize Educational Talent Search (ETS) to obtain documents relative to and consistent with my education. Such documents may include a copy of my school transcript, test scores, the ACT/SAT or GED scores. I authorize ETS to obtain information related to my application for receipt of financial aid (federal, state, or other), a copy of my award notification for the financial aid office, and college admission information. I authorize ETS to release or to obtain information from any agency or program providing supplemental service. I have answered all the ETS general application questions to the best of my knowledge. I would like to be part of the ETS program. With my parent's permission, I hereby choose to participate in all Educational Talent Search activities. In addition, I hereby give permission for my name, photograph, work, and/or statements to be used by Educational Talent Search for promotional, publicity, or instructional purposes. Sign the box below.
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Date
*
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Month
-
Day
Year
Date
Submit
Should be Empty: