Professional Prep Program Application 2021
This is the application for the Upward Bound Professional Preparation Program. Applications and parental permission forms are due back to me no later than May 21, 2021. Only students that submit a COMPLETED application will be considered. As you may know, work-study internships are only available to upcoming interested UB/UBMS seniors students during our summer program. Professional Prep students will spend approximately four hours per week, Monday through Thursday afternoons in a professional prep class. Fridays will be reserved for community service projects required of all senior students regardless of participation in the Professional Prep Program. Students that are selected to participate in our Professional Prep Program will have the opportunity to gain entry-level experience in a career field requiring a degree. Students will also earn a work-study stipend in relation to tasks completed associated with the internship. If you have any questions, please feel free to contact me at 719-587-7865 or by email at agalleg@adams.edu. I will be glad to answer any questions that you may have.
School Email
*
example@example.com
Name
*
First Name
Last Name
Student Phone Number
*
-
Area Code
Phone Number
Are you in traditional UB or UBMS?
*
Classic UB
UBMS
School
*
Alamosa
Antonito
Centauri
Centennial
Center
Del Norte
Monte Vista
Sanford
Sangre de Cristo
Sierra Grande
STUDENT GRADUATION COHORT
*
COHORT 2022
COHORT 2023
COHORT 2024
COHORT 2025
Personal Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current GPA
*
Have you ever held a job or participated in job shadowing experience?
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Yes
No
If yes, describe your work experience.
Do you have your own transportation to travel to and from a work site?
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Yes
No
Recommendation
Provide the contact information for one reference (i.e., teacher, counselor, principal, previous employer, community service leader, etc.)
Reference Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Essay Questions
Please answer these questions honestly and completely. Responses should be well thought out; one sentence answers will not be accepted. Grammar and spelling will be taken into consideration for your overall qualification.
Why are you interested in this work-study internship?
*
What are your future career goals and how do they relate to this opportunity?
*
What skills or experiences do you hope to gain from the work-study internship if you are selected?
*
If asked about the Upward Bound Program (Upward Bound and Upward Bound Math and Science), how would you describe what you do in the program?
*
Employment Interests
Select three of the following for possible placements. (Please note that your responses does not guarantee a placement within that field.)
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Early Childhood Education
Health Care
Fitness
Administration
Legal Services
Business
Event Planning/Student Life
Library
Publishing
Mental Health
Museum
Dentistry
Medical
Botany
Surveying
Veterinary
Other
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✨Acknowledgment✨
** I hereby certify that I am a participant in the below mentioned program. All supplies and meals are distributed in conjunction with programming and services of the Upward Bound Programs.
STUDENTS ONLY! PLEASE SIGN YOUR FULL NAME TO VERIFY THAT YOU ARE AVAILABLE TO PARTICIPATE AND WILL RECEIVE A MEAL BOX AND SUPPLIES FOR 04/24/2021 VIRTUAL FIELD TRIP & COMMUNITY SERVICE ACTIVITY.
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ASU EMAIL ADDRESS ONLY:
*
@grizzlies.adams.edu
YOUR 900 NUMBER
*
Please call 719-587-7865 if cannot remember your 900#
AS A PARTICIPANT OF THE FOLLOWING PROGRAM:
*
Classic Upward Bound at Adams State University
Upward Bound Math Science at Adams State University
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