Thank you for your interest in our Educational Talent Search program!  Please complete this application as thoroughly as possible.  PLEASE NOTE: You cannot save and restart this application.  Please review the application checklist and the application to make sure you have the required documents and information before you begin.

Application Checklist: 

  • Student Demographic Information 
  • Dependency Information 
  • Parent/Step-Parent or Guardian Information 
  • Taxable Income - To Determine Low-income Eligibility
  • Student & Parent Signature

ETS Eligibility Requirements:  

  1. Students who attend 1 of the following schools: 
     - Anaheim High School 
    - Katella High School 
    - Magnolia High School
    - Loara High School 
    - Savanna High School 
    - Western High School 
  2. Students who meet 1 or more of the following: 
     - Federal Income Eligibility
    - Parents/Guardians have not graduated from a four-year college or university 
    - Facing other barriers to educational success

*Students are accepted into the program based on eligibility criteria, academic need, and space availability. Completion of the application does not guarantee acceptance into the program. 

Cal State Fullerton's Educational Talent Search program is 100% federally funded. Admission into Educational Talent Search is open to those who meet the eligibility criteria, regardless of gender, race, national origin, color, age, religion, or disability. 

CONTACT US | If you have any questions, please call our office at (657) 278-8545 or email us at colmedo@fullerton.edu
Student Information:
Last Name *
First Name *
Middle Name
Gender *
Date of Birth *
Student ID *
Year of Graduation *
Current Grade Level *
Current School *
Next Year School *
Does the STUDENT have an Individualized Education Plan (IEP) and/or a documented learning disability? (Yes or No) *
If yes, please list IEP / documented learning disability
Please indicate any programs that the STUDENT currently participates in: (Check all that apply)
Upward Bound
AVID
EAOP
Puente
GEAR UP
Please indicate any other programs here:
Has the STUDENT served in the (active or reserve component of the) Armed Forces of the United States? *
STUDENT Citizenship Status *
Other Citizenship Status
To comply with reporting guidelines from the Federal Government, we must collect detailed information about participants' ethnic and racial backgrounds. This information will not affect your application to participate in this program.
Are you Hispanic/Latino *
Please select the race(s) with which you identify:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Other
Contact Information:
Address *
Address 2 *
City *
State *
Zip *
Student Cell Phone # *
Student Personal Email (not AUHSD email) *
Primary Language Spoken *
Dependency Information:
Is the STUDENT married? *
Does the STUDENT have a parent or guardian? (Yes or No) *
Does the STUDENT have children or dependents (other than a spouse) who receives more than half their support from student? *
Is the STUDENT an orphan, in foster care, or a ward of the court? *
Is the STUDENT an emancipated* minor? *
*Emancipation is a legal process that frees a child who is between the ages of 14-17 from the custody and control of their parent(s) or guardian.
Does the STUDENT have a court-appointed legal guardian?
Family Information:
Parent/Stepparent or Guardian A:
Full Name *
Relationship to Student *
Email *
Phone Number *
Has PARENT/GUARDIAN A graduated from college with a four-year (bachelors, BA, BS, or baccalaureate) college degree? *
Parent/Stepparent or Guardian B:
Full Name *
Relationship to Student *
Email *
Phone Number *
Has PARENT/GUARDIAN B graduated from college with a four-year (bachelors, BA, BS, or baccalaureate) college degree? *
Please complete information for both Parent/Guardian A & B, if possible. If you only have information for 1 Parent/Guardian, please complete the Parent/Guardian A section and enter N/A in Parent/Guardian B section.

Household Size & Income Verification:

Note: Taxable income can be found on the federal income tax return. 

  • On IRS Form 1040, see line 15
  • On IRS Form 1040-SR, see line 15

Household size refers to the number of people (including STUDENT) who are supported by the taxable income. 
Household Size *
What was your family's taxable (not total) income from the last calendar year? (if selecting option 1 or 2, please enter amount)
Please Select One: *
Family Income *
Participant Additional Questions:
Do you plan to attend college? *
Why? *
After high school, I hope to attend and graduate from a community college. *
After high School, I hope to attend and graduate from a four-year college or university. *
What are your favorite and least favorite subjects in school? Why? *
Why do you want to be a part of Educational Talent Search? *

Certification, Permission, and Consent:

I hereby give the Educational Talent Search program staff permission to have access to report cards, high school transcripts, college/university transcripts and enrollment data, standardized test results, and other pertinent information. I understand that this permission will be in effect throughout my child's participation in the Educational Talent Search program and six years after their high school graduation. To facilitate provision of program services, I grant consent for my child to be occasionally called out of class for advising by Educational Talent Search staff. Finally, I certify that all information provided in this application is accurate and true to the best of my knowledge. 

In the event that my child is offered and accepts an invitation to participate in the Educational Talent Search program: 

  • I affirm that my child is in good health and able to participate in the Educational Talent Search activities. I voluntarily assume the risk of any possible injury/illness or property damage associated with her/his participation in ETS activities. If my child needs emergency medical treatment and her/his emergency contact cannot be reached, I consent to any medical treatment deemed advisable by any licensed physician and agree to be financially responsible for any costs incurred as a result of such treatment. I understand that California State University, Fullerton does not provide health or accident insurance for participants. I have been advised to provide my own medical and hospital insurance. 
  • I grant the University permission and the right to photograph my child and to place such photographs in University publications and/or to make them available to outside media. I understand and acknowledge that neither I nor my child will receive any monetary compensation for the use of her/his likeness; have the opportunity to inspect or approve any photograph prior to its use or release; or have any copyright interests in any photograph. The University agrees that if it selects a photograph of my child, that photograph will not be used for any purpose other than to promote the University. I understand that the determination of what is “promotional” rests solely with the University.
  • In consideration of my child’s participation in Educational Talent Search, on behalf of her/his, myself, all heirs and assigns, I release and hold harmless theState of California, the California State University Trustees, California State University, Fullerton, the California State University, Fullerton Foundation, and their respective officers, agents, volunteers and employees from any and all claims, damages, losses, causes of action and demands and all costs and expenses incurred in connection therewith resulting from or in any manner arising out of or in connection with my child’s participation in Educational Talent Search.
  • I agree to indemnify and hold harmless the State of California, the California State University Trustees, California State University, Fullerton and their respective officers, agents, volunteers and employees from liability and responsibility for any claims or demands arising out of the acts or omissions of my child during their participation in Educational Talent Search.

 
I acknowledge the conditions outlined in the certification, permission, and consent section. *
Sign & Submit:
Parent Signature *
Please select a signature verification type.
Student Signature *
Please select a signature verification type.
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.