Virginia Union TRIO Talent Search Online Application Question Title * 1. Student's Name First Name Last Name Question Title * 2. Student Info Birthday (00/00/0000) Current Grade Question Title * 3. Student's School John Marshall High School Armstrong High School George Wythe High School Question Title * 4. Parent/ Guardian Info First & Last Name Relationship to Student (Mother, Legal Guardian, etc.) Phone Number Email Address (Enter NA if no email address) Question Title * 5. How many children (aged 17 or younger) are you parent or guardian for in your household? Question Title * 6. Please state your family/ household taxable income (line 43 of the IRS 1040 form, line 27 of the 1040A, or line 6 on the 1040EZ). If no taxable income then enter "None." Question Title * 7. Did the student's mother earn a college degree? Yes No Question Title * 8. Did the Student's father earn a college degree? Yes No Question Title * 9. Release of Records Information: I hereby grant permission to the VUU ETS staff to access: Copies of my/my child’s school and other partnering agency records including but not limited to: class schedule, grades, transcripts, Virginia SOL scores, Free & Reduced Lunch eligibility information, address, phone numbers, suspension & disciplinary records, ADA information, SAT/ACT scores and other pertinent information. I hereby authorize post-secondary institutions to release to the VUU ETS staff copies of my/my child’s college academic and enrollment information, as well as all student aid awards at the chosen colleges(s) after high school until the completion of a certificate/degree from a post secondary institutionRecords will be used to assess student needs, monitor student progress, document eligibility for the program, tracking and for additional reporting purposes as needed. All information will remain confidential. This information shall only be transferred to a third party, outside of the VUU ETS program on the condition that written consent of the parents/guardians (or applicant over 18) is first obtained. Please Check Here. Question Title * 10. Activities/ Promotional Release: As a parent/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 ETS activities Please Check Here. Question Title * 11. By signing below, I certify all information is true and correct to the best of my knowledge. By signing below I also certify that my child is hereby allowed to participate in the VUU ETS Program. Page1 / 1 100% of survey complete. Done