Telis Kidz Application

Welcome to the official Telis Kidz application portal! Please complete the form carefully. Failure to follow instructions may result in disqualification.

APPLICANT INFORMATION

FULL LEGAL NAME (last, first, middle, if applicable):
DATE OF BIRTH (MM-DD-YYYY, no exceptions):
PARENT/GUARDIAN EMAIL (must match public records):
PARENT/GUARDIAN PHONE (landline only):
FULL ADDRESS (PO Boxes not accepted):
CITY (Must be within the authorized districts):
ZIP CODE (Must match verification records):

ADDITIONAL INFORMATION

Does the applicant have prior experience with Telis Research programs?

Yes No

Select the program you're applying for (choose wisely; no changes allowed after submission):

SECURITY QUESTIONNAIRE

To confirm eligibility, answer the following:

1. Do you understand the terms of participation? *

Yes No

2. Have you ever had unauthorized access to Telis Research materials? *

Yes No

3. If required, will you consent to additional screening? *

Yes No

NOTE: Incomplete or inaccurate applications will be rejected. Please verify all information before submitting.