To:Parent(s)/Guardian(s) of Educational Talent Search Program Middle School Students

What:Talent Search Summer Academy issponsored by the University of Northern Iowa Educational Talent SearchProgram.

When:Session 1:June 8, 9, 10, 11, 12, 15, 16, 17,18 19, 2015

Session 2:June22, 23, 24, 25, 26, 29, 30 & July 12, 2015

Students may participate in one sessiononly.

Who May Apply:Any Talent Search participant who is enrolled in the 6thor 7th grade during the 2014-2015school year. Enrollment is limited to 24participants per session. Students must commit to attending every day.

Time:8:30 a.m. – 1:00 p.m. (Monday – Friday)

Where:University of Northern Iowa Center for Urban Education (UNI-CUE)

800 Sycamore Street, Waterloo, IA 50703.

Cost:FREE

Meals:Breakfast and lunch will be provided.

Transportation: Will provide if needed.

ProgramDescription: The Talent Search Summer Academywill offer participantsReading, Spanish andCareer Exploration classes. Students will also participate in STEM workshops on the Universityof Northern Iowa campus.

Application Instructions:

Students/parents can apply for the program by completing the attachedstudent application materials. The applicationmaterials can be returned to your child’s school’s main office orto the Educational Talent Search Program Office, 800 Sycamore Street, Waterloo, IA or by faxing the forms to Ruthie Stigler at 433-0160. The applicationdeadline isFriday, May8, 2015. Students who are selected to attend will be notified by Friday, May 15th. All selected students and their parent(s)/guardian(s) must attend an orientation meeting.

Please contact the Educational Talent Search Program staff at 433-1240 if you have any questions.

Talent SearchSummer AcademyProgram

Student Application

Please return completed applicationto your child’s school or toUNI-CUE, 800 Sycamore Street, Waterloo, IA 50703. Application deadline isMay 8, 2015.

Please Print:

Student Name

FirstMiddleLast

Address______

StreetCity StateZip Code

School attended during 2014-2015 school yearGrade

Tee Shirt size Will your child need transportation? Yes No

Parent/Guardian Name (Mother) ______

(Please print)First, Last

Parent/Guardian Name (Father)______

(Please print) First, Last

Telephone #Emergency #Cell #

Emergency Contact (Name)

(Please print) First, Last

Telephone # Cell #

Please select program dates you would like to attend. Students should sign up for a first and second program preference. Check only one preference per box.

First Preference / Second Preference
  • June 8, 9, 10, 11, 12, 15, 16, 17, 18 & 19
  • June 22, 23, 24, 25, 26, 29, 30 & July 1 & 2
/
  • June 8, 9, 10, 11, 12, 15, 16, 17, 18 & 19
  • June 22, 23, 24, 25, 26, 29, 30 & July 1 & 2

If your child must be absent during the summer program please list the date(s) and reason for the absences.

-over-

EDUCATIONAL TALENT SEARCHSUMMER ACADEMY

Student Application

Please Print

Student Name:

(First)(Middle)(Last)

Please list any physical conditions, learning disabilities or health problems which will require special medical, dietary or other consideration. If more space is needed, please add an additional sheet.

Condition
(Write "None" if no condition exists) / Please note any concerns or any special accommodations needed. / Medication: (If not taking medication write
"None" in this space.)
1.
2.
3.

I (we) give permission for my child to participate in the Talent Search Summer Academy which will be held at UNI-CUE and sponsored by the University of Northern Iowa Educational Talent Search Program. I(we) give permission for program staff to have my child treated medically in case of an emergency. I (we) also give permission for my child to be transported by the program to activities and field trips.

Parent/Guardian Signature (mother)Date

Parent/Guardian Signature (father)Date

October 7, 2018