MARQUETTE UNIVERSITY EDUCATIONAL TALENT SEARCH PROGRAM

PARTICIPANT APPLICATION

STEP 1: Student, please answer the following questions about yourself.
a. What is your name?
Last Name
First Name
Middle Name
b. What is your mailing address?
Street Address
Apt. #
City
State
Zip
What is your home phone number?
What is your cell phone number?
What is your parents' cell phone number?
Parent Relationship
What is your e-mail address?
STEP 2: Student, please answer the following questions about yourself.
a. What is the name of your school?
b. 2024-2025 Grade Level
c. Did you receive Free lunch assistance?
d. What is your social security number?
e. What is your birthdate?
Are you Hispanic or Latino?
What is your race? (Please select all that describe you.)
American Indian or Alaskan Native?
Asian?
Black or African American?
Native Hawaiian or other Pacific Islander?
White?
What is your gender?
Step 3:  Student, please answer the following question about yourself.
Are you a U.S. citizen?
My PErmanent REsident Alien Number is:
Step 4:  Student, please answer the following questions about your parents and about yourself.
Has your mother received/earned a baccalaureate degree?
Has your father received/earned a baccalaureate degree?
Which parent do you regularly reside with and receive support from?
STEP 5: Student, please answer the following questions about yourself.
a. Are you married?
b. Do you have children or other dependents (other than a spouse) who receive more than half og their support from you?
c. Are you an oprphan, in foster care, or a ward of the court?
d. Are you an emancipated minor or do you have a court-appointed legal guardian?
e. Are you less than 18 years of age and have a no parent or guardian?
f. Are you homeless (i.e., you lack a fixed, regular & adequate nighttime residence) or are at risk of becoming homeless?
STEP 6: You (the student) must answer the following questions about yourself if you are at least 24 years old or you answered YES to any question in STEP 5. Your parent(s) must answer the following questions about themselves if you are less than 24 years old and answered NO to all questions in STEP 5.
a. What is the total number of persons (including you) in your family unit?
b. What was your family's taxable (not total) income from the last calendar year?
Select your family's tax status.
What was your family's income?
Step7: You (the student) must read the following statement and then sign and date below it. If you (the student) are
less than 24 years old and answered NO to all the questions in STEP 5, your parent or legal guardian must
also read the following statement and then sign and date below it.
By signing this application, I attest that all the information on this application is true. Moreover, I authorize the release of the student’s official academic records to the Marquette University Educational Opportunity Program (EOPS), understanding that the information in these records will be used only to assess the student’s need for TRIO program services, discern the student’s educational progress, evaluate the effectiveness of TRIO program activities, and fulfill TRIO program-reporting requirements. Finally, I authorize EOP to use the student’s name, statements and likeness, without charge, for promotional purposes in EOP publications, advertising, video, and other formats.
Student's Signature
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.
Signature of Student's Parent or Legal Guardian
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Signature: (Type in your full name)
I agree to the terms included.
What three careers interest you the most?
Career 1.
Career 2.
Career 3.
Do you plan to go to college?
Note: "College" can mean a community college, university or trade school.
College?
Which services do you need in order to prepare yourself for college?
(34CFR643.4) 

Check the box(es) next to each service you need.
Tutoring?
Tutoring in
Advice on how to manage my money.
Information about the benefits of going to college and earning a degree or certificate
Inforamtion about how I can pay college costs.
Help choosing middle-school and/or high-school courses that will get me ready for college.
Help completing college-admission applications.
Help completing college financial-aid applications
Help preparing for college-entrance examinations.
Help choosing college courses.
Is English your first language?
Do you find it difficult to speak, read, write, or understand English well enough to learn from your teachers at school?
Please list any other federal programs (i.e. Upward Bound, Gear Up, Talent Search) in which the student participants
Student Signature
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Signature: (Type in your full name)
I agree to the terms included.

Determination & Assessment of Student Need for Project Services