This form is to register High School and/or Junior High students who seek to pursue a collegiate education or Career Path Guidance.

Please ensure you follow directions as you complete this registration form. 

Educational Talent Search
Program Consent Form

Dear Parent(s):

My son/daughter and we are being asked to participate in the Educational Talent Search Program (ETS).  Our participation in this program is entirely voluntary and we may refuse to participate or may decide to cease participation at any time.  Should we decide to withdraw or refuse to participate in the program, our decision will involve no penalty but will result in loss of services to which we are otherwise entitled.  We are also aware that no financial compensation will be offered for participation in the Educational Talent Search Program.

We are aware that the purpose of the ETS Program is to provide educational outreach to students within school districts within Dallas County.  The objectives of the Educational Talent Search Program are: 1) to identify qualified participants with potential for education at the post secondary level, 2) to encourage and assist them to continue in and graduate from high school, and 3) ultimately enroll them in a post secondary program.  We are aware that all students will be recommended to tutoring in areas of academic weaknesses, and receive peer mentoring, career and educational guidance (i.e. admissions, financial aid applications and introduction to different career options) as well as field trips to Texas universities. The program will provide a comprehensive outreach campaign to publicize the availability of financial assistance for eligible participants.

We are aware that the total anticipated time span for each student involved in the Educational Talent Search Program will last from the time the student enters the program until his/her high school graduation.  We are also aware that our participation in all activities is of great importance.  If my child’s participation does not meet the standards of the Talent Search Program, we are aware that we may become deactivated from the program and may no longer be permitted to participate in the program’s activities.

Every effort will be made to maintain the confidentiality of my child’s records.  In no way will my child’s records be revealed. We have been advised that the data collected from the program will be used for educational purposes.  The identity of all the students will be kept in a secure location available only to the Educational Talent Search staff and Avenue PRC staff.

We have been told that the ETS staff has the right to withdraw us from the program at any time.  The Educational Talent Search staff has offered to answer all our questions if we have additional questions or comments during our tenure in the TS program, we may contact Dr. Keisha Lankford at 214-870-4129

My signature below acknowledges our voluntary participation in the Educational Talent Search Program.  Such participation does not release the ETS staff and institution from their professional and ethical responsibility to my child.  We understand the information provided above and had our questions answered to our satisfaction.

Educational Talent Search Program
Parent Consent / Release Agreement Form

I hereby give permission for my son/daughter  to participate in the Educational Talent Search Program.  I understand that through the Educational Talent Search Program my son/daughter will receive individualized and group tutoring, academic and career counseling, college preparation and orientation, and academic enrichment and cultural awareness sessions.  Students will receive presentations and workshops to motivate them to continue their education and enroll in college upon high school graduation.

My signature on this document indicates that Educational Talent Search has my authorization to:

1. Grant my child’s corresponding school, permission to release any/all grades, transcripts, test reports and other academic information requested by the personnel of the Educational Talent Search Program.
2. Obtain release of confidential information, (i.e. financial, medical, welfare status, tests, academic school grades, and questionnaires for project evaluation purposes).
3. Make referrals to other agencies for specific services, (i.e. health, public assistance and psychological or career assessment).
4. Transport my child to college visitations, Saturday sessions, summer program activities, various field trips and other Educational Talent Search events or activities.
5. Photograph or videotape my child during Educational Talent Search events for the purpose of publication (i.e.: news release, televised reports, or news letter) in order to promote and enhance program activities.
6. Provide medical or surgical treatment from an available Hospital or by any Medical personnel in the event of an illness, accident, or emergency.

I further state that I will not hold my child’s school, Educational Talent Search and Avenue PRC (and staff), any Independent School District with in Dallas County, or any other authorized worksite organization or agency responsible or liable for medical and/or surgical treatment in such case of illness, accident or emergency situation or for any other accident, injury or misfortune which may occur to my child.

I also agree to assist in my son’s/daughters educational goals by promising to encourage consistent attendance and participation in the ETS program activities.  If there is a concern with our child’s attitude or behavior and/or if there is a change in address or home telephone number we will contact the ETS office at 214-870-4129.  Monitor my child’s involvement in homework assignments and study habits at home along with encouraging discussions on future academic plans.  Support ETS policy, which states that any student who is having difficulties with a subject attend tutoring provided by the school or program until grades our satisfactory.  I understand that the ETS program will provide parent meetings regarding information for my child’s academic future and/or opportunities and that I will make every effort to attend the corresponding meetings annually.

Medical Release Statement

I understand that in the event of an emergency, the Educational Talent Search Program will make every attempt to contact me. I authorize my child to receive medical care as deemed appropriate by competent medical personnel and will take full responsibility for all costs incurred for my child’s medical treatment.

Signature and Acknowledgement

By selecting 'I Agree' and submitting this form, I certify that the above information is correct to the best of my knowledge. I understand that this information is being provided as a matter of record; it will be kept strictly confidential. I authorize this program to obtain copies of my transcripts, test scores, financial aid awards, and other materials necessary for participation in the program. I will also grant permission for my photograph, photographic image, and/or video recorded image to be published in materials such as newsletters, annual reports, recruiting presentations, web pages, e-Profiles, etc., and release this program from any liabilities.

Parent Signature and Acknowledgement

I give the Avenue PRC Talent Search Program permission to communicate with my child through electronic platforms such as: Remind, Google Classroom, etc. *