Directions: This application should be completed by a parent/legal guardian. Applications are only considered complete when all questions on this application have been completed and this form has been signed by both the parent/legal guardian and the student applicant. Please note that questions regarding an applicant’s race, ethnicity or language are purely for statistical tracking required by the U.S. Department of Education, and are not considered when determining an applicant’s eligibility for services. By signing this document you verify the truth and accuracy of the information provided. To expedite the processing of your application you may also submit this form with a copy of your most recent transcript.

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A. STUDENT INFORMATION
First Name *
Last Name *
Gender *
Date of Birth *
Current Age *
Current School *
Current Grade Level *
How did you hear about the ETS Program? *
Are you enrolled in TRIO Upward Bound Program? *
Ethnicity
Are you enrolled in LOTE Courses? *
If Yes, what is your native language
Citizenship *
If you are a U.S. Permanent Resident (Green Card Holder) please provide Alien Registration Number
Full Mailing Address (Address, City, State, Zip Code, and Country): *
Student's Mobile Phone *
Alternative Number *
GDOE Email *
Personal Email *
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B.PARENT/LEGAL GUARDIAN INFORMATION AND INCOME VERIFICATION
The student applicant regularly resides with and receives support from *
If other, please specify
Mother/Legal Guardian Name *
Highest Education Completed *
Mobile Number *
Work Number *
Email Address *
Father/Legal Guardian Name *
Highest Education Completed *
Mobile Number *
Work Number *
Email Address *
How many people are in your household, including yourself? *
Did you file 2023 taxes? *
If you put YES, please provide taxable income (1040 line 15). If NO, put N/A. *
If you put NO, please provide total earnings (Gross Income) for the previous tax year (If no income was earned, put zero) *
What was your source of income? *
Do you currently receive any public assistance for low/no-income households?
SNAP (Food Stamps)
Medicaid
Section 8
Other
If other, please specify
________________________________________________________________________________
 C. AUTHORIZATION & RELEASE

I grant my son/daughter permission to participate in Talent Search-sponsored activities and field trips. I understand that my son/daughter is expected to obey all rules and regulations of the Talent Search program. I also understand that failure to obey written or verbal rules and regulations will be sufficient reason to terminate my child's participation in Talent Search activities or field trips by sending them home.


I hereby release and forever discharge University of Guam and its staff members from all manner of claims and responsibilities due to any risks
encountered by my son/daughter.

I hereby authorize the UOG Talent Search Program to have access to my child’s permanent school records during the application process and throughout the period of their participation in the program. I also give permission for the use of my child’s name and /or photograph for editorial, promotional, recruitment or educational purposes.

PLEASE WAIT FOR YOUR SIGNATURE TO BE ACCEPTED BEFORE MOVING ON.
Photography & Media Publication: *
Student Applicant Signature *
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.
Parent/Legal Guardian Signature *
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.
________________________________________________________________________________
D. STUDENT COMMITMENT
  • Attend school regularly, refrain from discipline/behavioral problems and strive to earn high grades in all classes.
  • Contact my ETS Advisor if there is a change in my class schedule, my home address or phone number, and/or if my family plans to move.
  • Seek help with academic or personal problems, if needed.
  • Take advantage of special program activities such as college visits, financial aid workshops, and cultural events.
  • Successfully be promoted to the next grade each year in the program.
  • Apply for financial aid during my senior year.
  • Graduate from high school and enroll in a post-secondary education institution after graduation.

PLEASE WAIT FOR YOUR SIGNATURE TO BE ACCEPTED BEFORE MOVING ON.
Student Applicant Signature *
Signature Type: Simple    Start Over
Signature: (Type in your full name)
I agree to the terms included.
________________________________________________________________________________
E.STUDENT EDUCATION FORM
What high school are you planning to attend?
If other, please specify:
What are you plans after high school?
Military
Work
2-year College
4-year College/University
Trade/Training Program
Unsure
Other (Specify):
Work
What are your career interests? *
What grades do you earn most of the time in school?
What goals do you want to accomplish this school year?
Goal #1
Goal #2
Goal #3

What information or assistance is most helpful to you (Choose from Academic Support, High School Preparation, Tutoring, or all that apply):
Academic Support (Specify below):
Improving Study Skills
High School Course Selection
Confidence Building
Goal Setting Skill
Improving Test Taking Skills
Social and Emotional Learning Skills
High School Preparation (Specify below):
High school transition and readiness
Information on high school credits
Information on high school service learning
Information on rigorous courses
Building an academic portfolio
Career Exploration
Tutoring (Specify Subject(s)) Put N/A if none: *
________________________________________________________________________________

F. SUBMISSION

Make sure to complete the required fields before submitting the application form. Once it has been sent, ETS will review and process your application. ETS will also call you for additional information if there are missing information. If you have met the program criteria, an ETS staff will be contacting you and you will also be sent an acceptance letter to the program. If you may have additional questions, feel free to send us an email at trioets@triton.uog.edu, Whatsapp or contact us at 735-2246. Have a wonderful day and stay safe! 

TO ENSURE YOUR APPLICATION HAS BEEN SUBMITTED, PLEASE WAIT FOR YOUR SUBMISSION TO BE ACCEPTED BEFORE EXITING THE WINDOW.