Thank you for your interest in Pierce College Talent Search!

Please fill out this application to the best of your ability. 

Please note, this application can not be save so fill out as much as you can and remember to hit the "submit" button once you are done. 
Student Information:
First Name *
Last Name *
Middle Name
Date of Birth *
Age
Student ID Number
Race/Ethnicity *
Gender
Phone *
Email *

Parent Information

 
Parent/Guardian Name *
Parent/Guardian Cell Phone *
Parent/ Guardian's Email
Parent/Guardian Preferred Language
What grade are you currently in? *
What high school do you attend?
Are you in Upward Bound with Mr. Yysal or Olive ?

 

What are some things you would be interested in doing with our program?
Visiting colleges
Learning about different types of colleges
Learning how to pay for college and apply to scholarships
Making friends who also want to attend college
Participating in summer and afterschool programs.
Going on field trips

Thank you for completing this form and for you interest in Pierce College Talent Search.

Please remember to hit the "Submit Application" button.

Please tell your parent/guardian that you are interested in the Pierce College Talent Search program. We will be sending information about the program as well as additional questions directly to your parent/guardian.

You will hear from a staff member shortly!