Upward Bound Interest Form

Thank you for your interest in being in Upward Bound. Before being enrolled in Upward Bound, you must successfully complete a 60-day probation period with either at or above 80% attendance. You are able to choose whether you want to start your probation period during the summer or the fall.

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* 1. Student Contact Information

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* 2. Parent/Guardian Contact Information

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* 3. Parent/Guardian Education Information

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* 4. Are you still interested in being part of Upward Bound?

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* 5. If you are interested in being in Upward Bound, please state when you would be interested in starting your 60 day probation period.

Student Information

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* 6. Class Level

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* 7. Are you planning on attending summer school?

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* 8. If you are attending summer school, please list the days and times. Ex: Mon/Fri 12:00-1:00

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* 9. Are you working this summer or planning on working?

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* 10. If you are working or plan on working, please list the days and times. (ex: Mon-Thurs 12:00-1:00pm)

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* 11. What topics/experiences are you interested in learning more about:

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* 12. What career fields are you interested in learning more about? (Select all that apply)

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* 13. What subject areas do you need the most help/ assistance/ tutoring in?

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* 14. What are your plans for after high school?

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* 15. What major(s) are you interested in?

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* 16. What career(s) are interested in?

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* 17. What college(s) are you interested in?

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* 18. Please list some of your hobbies, interests, activities, and/or clubs you're involved in.

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* 19. What would you like to gain from becoming a UB student?

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