Talent Search Application

To be fully considered for admission to Talent Search, students must complete and submit the following application materials:

  • The Talent Search application
  • Income verification via the submission of copies of pages 1 and 2 of the 1040 form your family filed with the Internal Revenue Service OR the completion of the Family Income section on page 1
  • A Student Profile form that solicits specific information about the applicant and his/her family and academic background

Upon our receipt of the above materials, we will alert the applicant of his/her admissions status. It is important to note that the information solicited on the Student Profile in the application is held in strict confidence and is collected for record keeping purposes only. Federal law prohibits unlawful discrimination on the basis of race, color, sex, age, national origin, religion, or disability.

Please contact the Talent Search Office should you have questions about any aspect of this application. We are happy to assist you in any way. You can reach our office by calling us (540-231-6911) Monday through Friday, from 8:00am - 5:00pm.

You may fill out the application below or print it out the PDF form to mail in.

Talent Search Application PDF

TALENT SEARCH APPLICATION

Today's Date*  

Full Name

First*           Middle

Last*   

Address

Street Name*      

City*      State*       ZIP*  

Contact Information

Phone Number*      Student Cell  

Parent Email       Student Email  

Additional Information

Social Security Number*      

Birth Date*      School Attending*      Grade*  

Parents' Names   Father    Mother

Do you live with both of your parents? Yes   No

If you do not live with both parents:

What is/ are the name(s) of the person(s) with whom you live?       Relation  

                                                                                                  Relation  

Did your parent(s)/ guardian(s) complete a 4-year college degree or higher?

Mother/ Female Guardian   Yes  No                Father/ Male Guardian    Yes  No

Are you a U.S. Citizen?*      Yes  No

***If you are not a U.S. Citizen, but you are a permanent resident of the United States, please provide us with a copy of your Resident Alien Card.***

Income Information

How many people are in your family? (number of exemptions claimed on line 6d of your federal income tax return Form 1040)?* 

Please select your family's total Taxable Income [MAKE CERTAIN YOU CHECK YOUR "TAXABLE INCOME" IRS Form 1040 - Line 43 or IRS Form 1040 EZ - Line 6 or 2013 IRS Form 1040A - Line 27 (NOT federal adjusted gross income)]*   

If your family did not pay income taxes last year, indicate the source of the non-taxable income: (check all that apply)

Social Security     Unemployment     Workman's Comp.     Veteran's Benefits

Foster Child         Food Stamps - Case#      TANF/AFDC - Case#

Other - Please specify

Supplemental Information

This information is not part of the application. However, the information requested is helpful for the program in planning activities, gathering statistical data for Department of Education reports, and for referral of students when specific opportunities and scholarships become available.

    Ethno-Racial Background (Check all that apply):

        Hispanic/ Latino            Black or African American                               White

        Asian                            Native Hawaiian/ Other Pacific Islander            American Indian/ Alaska Native

    Gender:     

        Male            Female

    Marital Status of Parents:

        Married                         Never Married                         Mother Remarried

        Divorced                       Father Remarried                      Mother Deceased

        Separated                      Father Deceased                      Other specify  

    Children in Family Other than Yourself::

    Name                                              Age             Presently at Home?              Highest Level of Education

    1.                    Y   N                

    2.                    Y   N                

    3.                    Y   N                

    4.                    Y   N                

    5.                    Y   N                

    6.                    Y   N                

    7.                    Y   N                

    List persons living in the home other than mother, father, sisters, & brothers:

    Name                                                 Relationship

    1.     

    2.     

    3.     

    4.     

    Which type of diploma are you working towards?

        Advanced            Standard            General            Technical

    How did you hear about us? (check all that apply)

        Guidance Counselor        Friend/ Family        Parent        Recruiting Session

        Internet                           Newspaper            Radio

        Teacher  (Name)       

        Current Participant (Name)

        Other School Personnel  (Name)

        Other

    At this point in your school career, in what subject(s) do you do your best work?

        

    In what subject(s) would you like academic assistance?

        

    What subject(s) do you like best?

        

    Are there any subjects that you would feel comfortable assisting other students?

        Yes   No            If yes, list subjects:

    Within your school and/ or community, in what activities, sports, and clubs have you participated?

        

    What leadership positions have held in school and community activities?

        

    Please rate yourself in the following areas:

                                                          Well above avg.             Above avg.             Average                Below avg.              Well Below avg.

        Ability to get along with peers                                                                                                                            

        Willingness to assume responsibility                                                                                                                    

        Ability to adjust to new situations                                                                                                                       

        Emotional stability                                                                                                                                              

        Desire to achieve                                                                                                                                                

        Ability to learn                                                                                                                                                    

    What do want to do after you finish high school?

        College            Armed Forces            Other

        Full-time Work      In what field?

    If college, what schools are you considering?

        

    At this time, what are your career interests?

        

    Do you currently have a full- or part-time job?    Yes    No

        If yes, where?

        Hours worked per week?

    JUNIORS AND SENIORS ONLY: Have you passed the 10th grade Academic Proficiency Exam (SOL) for:

        English -  Yes        No

        Math -     Yes        No