STUDENT INFORMATION

First Name: *

Middle Initial

Last Name: *

Street Address (please include City, State, and Zip Code): *

DPS Student ID #: *

Student Email Address *

Student Phone Number: *

Can your TRIO Advisor text you? *

Birth Date (MM/DD/YYYY) *

Select how you identify *

SCHOOL INFORMATION

Select your high school: *

Grade Level: *

Current G.P.A.: *

Race/Ethnicity: *

Is English your first language? *

Yes

If "No" please indicate first language:

Are you a U.S. Citizen? *

If applicable, please list your Permanent Resident Number:

Which of the following applies to you? *

If you have a documented disability, please share below so we can best support your journey to a post-secondary program.

Parent/Guardian #1 Full Name: *

Email &/or Phone number for Parent/Guardian #1 *

Has Parent/Guardian #1 received a FOUR-YEAR
college degree in the U.S.? *

Yes

If yes, Parent/Guardian #1 has FOUR-YEAR degree.
What is the name of the college?

Parent Guardian #2 Full Name:

Email &/or Phone number for Parent/Guardian #2

Has Parent/Guardian #2 received a FOUR-YEAR
college degree in the U.S.?

Yes

If yes, Parent/Guardian #2 has FOUR-YEAR degree.
What is the name of the college?

TRIO Educational Talent Search | Denver Scholarship Foundation | 789 Sherman St, Suite 610 Denver, CO 80203

303.870.5719. | TRIOtalentsearch@denverscholarship.org

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