TRIO Talent Search Referral Form
Please fill out the following information to refer a student to our program.
TRIO Talent Search is a federally funded program aimed at helping first-generation students who are interested in attending college. All aspects of our program are free including transportation, food, educational materials, tickets, etc. Please email Talent Search (talentsearch@kcc.edu) if you are unable to complete all the information below or have additional questions. For more information, check out our website at talentsearch.kcc.edu
Student's Full Name
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First Name
Last Name
Student ID# or Email Address
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example@example.com
Parent/Guardian's Full Name
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First Name
Last Name
Parent Phone Number (if applicable)
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Please enter a valid phone number.
School Name
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Current Grade Level
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Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
What services could assist in this student's success? (Select all that apply)
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Homework & Grades
Study Habits, Note-taking, test preparation, and time management
Goal Setting, academic attitude, and collegeprep courses
Cultural awareness- exposure to a variety of cultural activities
Mentoring services
Career Exploration & Guidance
College Admission Procedures
Scholarship Information
Financial Literacy Information
Transition from middle school to junior high / junior high to high school
Assistance returnin to secondary or post secondary education
Other (please specify):
Please explain what other services would be beneficial to the student:
Additional Comments or Notes:
Referred by: (Name, Contact Info & Relation to the student). We will only contact you if more information is needed.
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Signature
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