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Educational Talent Search App.

The document is an application for the Educational Talent Search program at James Kerney Campus, collecting student and parent information, eligibility details, and individual assessments. It includes sections for personal data, academic background, household income, and specific needs related to academic and career support. The application aims to identify students who may benefit from additional educational resources and guidance.

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9 views2 pages

Educational Talent Search App.

The document is an application for the Educational Talent Search program at James Kerney Campus, collecting student and parent information, eligibility details, and individual assessments. It includes sections for personal data, academic background, household income, and specific needs related to academic and career support. The application aims to identify students who may benefit from additional educational resources and guidance.

Uploaded by

jwslivevents
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EDUCATIONAL TALENT SEARCH APPLICATION

James Kerney Campus, KC 118 • (609) 570-3184


www.mccc.edu/talentsearch • [email protected]
STUDENT INFORMATION
Name: ______________________ ____ _________________________________ Date of Birth: ____________
First Middle Last
Address: __________________________________________________________________________________________
(Number) (Street) (Apartment)
City:_____________________________ State: _________________________ Zip Code: ______________
Home Telephone: ( ____ ) ____________________ Cell Telephone: ( ____ )_______________________________
Social Security#:_______________________________ E-Mail Address: _______________________________________
Gender: Female ____ Male _____ Facebook Account: _______________________________________
Ethnicity: ___ Black or African American, non-Hispanic/Latino ___ Asian, non-Hispanic/Latino
___ Hispanic or Latino of any race ___ American Indian or Alaska Native, non-Hispanic/Latino
___ White, non-Hispanic/Latino ___ Two or more races, non-Hispanic/Latino
___ 1DWLYH+DZDLLDQRU2WKHU3DFL¿F,VODQGHUQRQ+LVSDQLF/DWLQR ___ Race and ethnicity unknown
Citizenship: __ U.S. Citizen
__ Permanent Resident, Eligible Non-Citizen: Country of Birth: _________________
__ Provide a photocopy of INS documentation (required)
Has student earned a high school diploma or GED?: Yes ____ (Year _________ ) No ____
Current School: ______________________ Current Grade: 6 7 8 9 10 11 12 Lunch Period: _____________
Last Grade Completed: ________________ Student ID# ______________________ Sec/Community: ___________

Is student in one of these programs?


__ Upward Bound __ GEAR UP __ Other MCCC Youth Program (Name) __________________________________
Student Signature: _____________________________________ Date: __________________________

PARENT INFORMATION (If applicant is under 18 years old, please complete)


Parent/Legal Guardian Name: ______________________ Work Telephone #: ______________________________________
In case of emergency, please contact: ____________________________ Telephone #: _______________________________
May we use photographs of the student in publications or publicity? Yes ____ No ____

ELIGIBILITY INFORMATION (Information required of all students): *


Number of people living in household: _______
Approximate taxable family income: $________ Check one: Monthly ______ Yearly _______
Did either parent complete a 4-year college education? Yes _______ No _______
Source of family income
__ Father Employed ___ Disability
__ Mother Employed ___ Unemployment
__ Welfare ___ Veteran’s Compensation
__ Social Security ___ Other (Please Explain __________________ )

Parent/Legal Guardian Signature: _____________________________________ Date: _____________________________


$OOLQIRUPDWLRQLVFRQ¿GHQWLDO
MCCC 8907 • 2000 • 1/17
MCCC 8907 • 2000 • 5/23
Talent Search

Individual Assessment
James Kerney Campus
102 North Broad Street, KC 118
609-570-3184
[email protected]

1. My strengths and skills: ________________________________________________________________________


2. My interests and hobbies: _______________________________________________________________________
3. My career goals: ______________________________________________________________________________
0RVWGLI¿FXOWVXEMHFW __________________________________________________________________________

Indicate below on a scale of 1 to 5 (1 least and 5 greatest).


Classifca tus necesidades marcando del uno (Menor) al 5 (Major). 1 to 5
1. Need academic advisement
Necesito orientación academica
2. Need high school diploma or GED
Necesito diploma de cuarto ano o el GED
3. Need information about college selection
Necesito información sobre la seleccion de universidades
1HHGWRDSSO\IRU¿QDQFLDODLG
Necesito solicitar asistencia económica
5. Need graduation information
Necesito información de graduación
6. Need assistance with personal problems
Necesito información de orientacion personal
1HHGPRUHVHOIFRQ¿GHQFH
1HFHVLWRPiVDXWRFRQ¿DQ]D
8. Need better self motivation
Necesito mejorar mi auto-motivación
9. Need more friends
Necesito más amigos
10. Need better skills in managing personal time
Necesito mejorar las técnicas de como manejar mi tiempo personal
11. Need transportation
Necesito transportacion
12. Need information concerning career options
Necesito orientacion sobre las vocaciones
13. Need job seeking skills
Necesito aprender las técnicas de como obtener un trabajo
14. Need better general study techniques
Necesito mejorar las técnicas de estudio
15. Need better test taking techniques
Necesito mejorar las técnicas de tomar examenes
16. Need better note taking techniques
Necesito mejorar las técnicas de tomar notas
18. Need tutoring
Necesito tutoria en
19. Other:
Otro

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