I understand that the purpose of the DVC Upward Bound Program is to prepare participants to successfully complete a program of post-secondary education. As part of my personal effort in this preparation, should my child be admitted to the program, I commit to Upward Bound and intend to participate in all academic year and summer program activities organized and sponsored by the program for parents.
I further understand that my and my child’s attendance and participation is extremely important. Therefore, should my child be admitted, I agree to ensure his/her attendance and active participation in tutoring (at least twice a week), Saturday College (bi-monthly), summer courses (6 weeks), meetings (monthly) and activities sponsored by Upward Bound. I understand the DVC UB Student Participation Guidelines and agree that my child must meet minimum participation requirements or jeopardize program enrollment (refer to attachment
I, (Insert Parent/Guardian's Name), do hereby give permission for my child, (Insert Child's Name), to participate in supervised online activities (educational, academic, social, cultural, college, career and other college matriculation services) with staff from the Contra Costa Community College District and DVC Upward Bound. I understand that this will require my child to interact, exchange information and provide photos of required documents/progress of assignments with staff in an online format (i.e. Zoom, Calendly, Loom, Google Classroom, Remind, TAWK, On Track, College Choices, CANVAS, UC Scout, Khan Academy, AES, NWOW, JotForm, and social media).
I will comply with all rules and regulations of the DVC Upward Bound Program and I am aware that failure to comply with the rules and regulations as well as the failure to fulfill the commitment to the program could result in my child’s dismissal from the program.
I have read and understand my commitment to meeting the expectations of the DVC Upward Bound Program.
Information Release: I would like my child to be a part of the DVC Upward Bound Program and hereby give permission for my child to participate in all activities. I/We authorize the DVC Upward Bound (UB) to obtain documents information relative to and consistent with my child’s education. Examples of these documents may include and are not limited to a copy of my child’s school transcript, test scores, ACT/SAT or GED scores, and school lunch program eligibility. I/We authorize UB to obtain information related to my child’s application for receipt of student financial assistance (federal, state, or other), a copy of my child’s award notification from the financial aid office, college admission acceptances and registration information. I give my child’s college of attendance and National Student Clearinghouse permission to disclose my child’s college enrollment status and degree attainment data to the CCCCD/DVC UB staff for the purpose of tracking my child’s college enrollment and completion. I hereby give my permission for my child’s name, photograph, work, and/or statements to be used by Diablo Valley College/UB for promotional, publicity (web pages, social media, brochures, newspaper, etc, or instructional purposes.
I attest to the fact that all information in this application packet is true and accurate to the best of my knowledge.