Online Application

We are excited that you are here! This is the TRIO Secondary School Outreach Programs online application page. If you are interested in the TRIO Upward Bound or TRIO Talent Search programs and are enrolled at a participating Jefferson County Public School (Kentucky), then, please use this form to apply for consideration.
For which program is the student applying? Select one.  
What school does the student attend? Select one.  
What is the student's current grade level? Select one.  
What is the student's gender? Select one.  
What is the student's date of birth?  
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What is the student's race or ethnic background?  
Is the student is a U.S. citizen?  
Does the student plan on going to college?  
Are the student's parents living together?  
Are the student's parents:  
Does either parent have a four-year college degree?  
Pay frequency:  INCOME INFORMATION - SELECT ONE
Source of income:  INCOME INFORMATION - SELECT ONE
Who is the student's primary guardian?  SELECT ONE
Guardian's relationship to the applicant:  GUARDIAN INFORMATION Complete this field if the student does not live with either parent. Check "Not applicable" if not applicable.
ASSIGN DATE: Project Staff Assignment Date FOR OFFICE USE ONLY
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DISPOSITION DATE: Application Status FOR OFFICE USE ONLY
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