I verify that by signing this document the information which I have provided is accurate to the best of my knowledge. I also understand that the information I have provided will be used to document the student’s eligibility for the TRIO Talent Search Program. I understand that this information will be held in complete confidence by the Talent Search Program at North Shore Community College.
I (parent/guardian) give my son/daughter/ward permission to participate in the North Shore Community College (NSCC) Talent Search (TS) Program. I also absolve NSCC, the Talent Search Program, their personnel, and the Lynn Public School District of any liabilities and claims arising from my child’s participation and attendance in the program, including travel to and from events and activities. Further:
Medical release: I consent to and authorize emergency and non-emergency medical care to be provided to my child in the unlikely event of a health problem, emergency, or injury occurring during my child’s attendance in the TS program. I give my consent and authorization to appropriate TS staff to use their judgment in seeking medical care for my son or daughter. I understand that an attempt will be made to contact me if emergency medical care is needed.
Mandated reporting: I permit the TS program to obtain the academic records/information for the above-named student throughout his/her high school career and for six years following his/her graduation to allow for annual tracking of TS participant’s education as is required by Federal Department of Education regulations to evaluate the TS Program. I understand that this information will be held in compliance with FERPA and other applicable state laws and will only be accessible to appropriate program staff and Department of Education personnel.
I (student) understand that by participating in the Talent Search Program I will be participating in a federally funded TRIO program designed to help me graduate high school and continue on to post-secondary education. Accordingly, I understand that I am subject to the program policies and procedures and if accepted into the program, I agree to the following:
I have read the above rules and promise to uphold them and to be a good representative of my school and the TS program. I understand that while participating in TS activities I am held to the TS program policies and the policies outlined in my school’s student handbook and that any serious breach of behavior may result in dismissal from the program.
Additionally, I understand that to facilitate successful participation in the program and for data reporting, TS staff need access to my academic records throughout my participation in the program and my post-secondary enrollment and graduation information after high school. I understand this consent will remain in effect until its written revocation is received by the TS program at NSCC, 1 Ferncroft Road, Danvers, MA 01923.