RHODE ISLAND EDUCATIONAL TALENT SEARCH

Thank you for your interest in the Rhode Island Educational Talent Search (ETS) program! ETS is a FREE federally funded TRIO program that provides assistance and guidance to middle and high school students.  The ETS serves 11 target schools in The Providence, Central Falls, and Woonsocket school districts.

The ETS program provides comprehensive services designed to encourage students to stay in school, complete secondary school and enroll in a program of postsecondary education.  Project services include academic, vocational, and career advising, college visits, college admission/financial aid assistance, and other academic enrichment services.  

Complete this application as thoroughly as possible. You cannot save and restart this application.  Any question that has an asterisks (*) next to it must be filled out in order for you to submit the ETS application.

If you have any questions, please call our office at (401) 455-6073 or email ETS@ccri.edu.


Student Information:
First Name *
Middle Name
Last Name *
Address *
Address 2 (Apt. #, Floor #, etc.)
City *
State *
Zip *
Date of Birth (mm/dd/yyyy) *
Gender *
Preferred Pronouns
Phone
Student Cell Phone
Student Email
Select the most important service you would like to receive from ETS *
List any additional services you would like to receive from ETS
Student's Citizenship Status *
Upload Student's Permanent/Green Card (If applicable)
Race/Ethnicity *
Select if student has Limited English Proficiency (LEP) or is currently an ESL student
How did you hear about ETS?

Student Academic Information:
Current Grade Level *
Current School *
Current Age

Family Information:
How many people in your household? *
Household Income Range *
With whom does the student live with? *

Parent / Guardian 1 Relationship *
Parent / Guardian 1 Name *
Parent / Guardian 1 Highest Completed Education Level *
Check if same address as student
Address (If different from student's address)
Address 2 (Apt. #, Floor #, etc.)
City
State
Zip
Cell Phone
Other Phone
Email

Parent / Guardian 2 Relationship
Parent / Guardian 2 Name
Parent / Guardian 2 Highest Completed Education Level
Check if same address as student
Address (If different from student's address)
Address 2 (Apt. #, Floor #, etc.)
City
State
Zip
Cell Phone
Phone
Email

I/We certify that the information provided on the application is true and correct to the best of my/our knowledge

CONFIDENTIAL INFORMATION AND SCHOOL RECORD RELEASE FORM

By signing this application:

  • You hereby give your permission to the Rhode Island Educational Talent Search program to request and receive confidential information pertaining to any and all financial assistance awarded to you or your child (if under 18).
  • You also hereby release and discharge:
  1. Any agency and/or person(s) from any liability for divulging such information to Rhode Island Educational Talent Search Program.
  2. Rhode Island Educational Talent Search Program and staff from any liability for divulging such information to any admission and/or financial-aid offices at degree-granting post-secondary institutions, or any other agency which provides assistance to Educational Talent Search participants.
  • As the parent and/or legal custodian of my child, I grant Educational Talent Search (ETS) permission to obtain school records, transcripts, grade reports, test results, and any information.  I also grant ETS staff my permission to speak with teachers, counselors and other school administrators at my child’s school in order to obtain and exchange information as part of services provided by the ETS program
  • You give permission for your student’s school district to release all his/her school schedules, transcripts, grade reports, birth certificate and/or permanent resident card on request to Rhode Island Educational Talent Search, One Hilton Street, Room 2258, Providence, RI 02905.
  • You agree to cooperate with the Rhode Island Educational Talent Search program to provide information requested for the purpose of complying with and adhering to all U.S. Dep. of Education regulations governing TRiO programs of which Educational Talent Search is a part.
  • I hereby give my permission for my child’s name, photograph, work and/or statements to be used by Educational Talent Search/Partner for promotional, publicity, or instructional purposes.

Sign and Submit:
Student Signature (You must sign your name within the signature box) *
Signature Type: Simple    Start Over
Click here to start signing.
  • Pencil
  • Reset
Signature: (Type in your full name)
I agree to the terms included.

Parent Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number: