EDUCATIONAL TALENT SEARCH 

APPLICATION

Thank you for your interest in the UC Riverside Educational Talent Search Program!  Please complete all sections of this application; you will need parent or guardian assistance to complete the application. Once you start the application you must complete it in one sitting, the application will not allow you to save and continue at a later time. 

You will need the following information to complete the application:

  • Student's Social Security Number
  • Financial Information for your parent/guardian (IRS Tax Form 1040 or monthly income information, if parent/guardian does not file taxes).

If you have any questions, please call our office at (951) 827-7863.
Student Information:
High School *
Current Grade Level *
Student ID
First Name *
Middle Name
Last Name *
Address *
Address 2
City
State
Zip Code
SSN
Date of Birth
Gender
Cell Phone
OK to text
Student Email *
What is your Citizenship Status? *
What city were you born in? *
Race & Ethnicity *
Are you currently a participant of any of the following program?
*
Parent/Guardian Information:
Currently, Student lives with: *
Parent/Guardian Name *
Contact 1 Cell Phone *
Parent/Guardian #1 Email *
Parent/Guardian 2 Name
Contact 2 Cell Phone
Parent/Guardian #2 Email
Does Parent 1 have a College Degree *
IF Yes:
Does Parent 2 have a College Degree
If Yes

Family Income Information:
(The following information will be kept confidential and will be used only only to determine eligibility for the TRIO/Educational Talent Search Program. This information is required.)
What is your family size? *
Was a Federal Income Tax filed last year? *
If YES: Please provide Taxable Income (Form 1040-line 11b) Type N/A if not applicable *
If NO: Estimate the amount of all income you received during last year (i.e. SSI, Unemployment, Disability, etc)

Sign and Submit:

If selected as a participant of the Educational Talent Search Program at UC Riverside, I agree to participate in all aspects of the program, including advising, tutoring, Saturday sessions, the summer program, and field trips. Furthermore, I agree to conduct myself in a manner that will bring dignity to myself, my family, my school, my community, and the Educational Talent Search.
Applicant Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number:

I certify that the enclosed information is true and complete to the best of my knowledge. I hereby grant permission to the personnel at my child’s school to provide copies of transcripts, test scores, and related student information to Educational Talent Search staff. If my child is admitted to the Educational Talent Search program, I agree to participate in all meetings, orientations, or workshops organized by the program. I also agree to support my child in their academic endeavors and make my child’s education a family responsibility and priority.
Parent/Guardian Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number: