Upward Bound Math Science
Regional Math/Science Center at Frostburg State University
Academic Verification Form
To be completed by School Counselor
Student's 8th grade math class:
Pre-Algebra/8th Grade Math
What math class will this student take next year?
Which best describe the type of math courses this student is taking?
Has this student taken the Algebra I PARCC?
Will the student take the Algebra I PARCC this year?
Given this student's grades and motivation please rate his/her/their potential for success in a college mathematics or science program
Definite potential for success
Potential and motivation are there but student will need a lot of guidance and support
Student has the potential but lacks the motivation
At this point in time it is not realistic for this student to consider pursuing a degree in mathematics or science
Students selected for the Regional Math/Science Center must demonstrate a need for the services we provide. How would you categorize this student's need? Please check all that apply.
Need to improve GPA
Predominately low-income community
Need to increase confidence or self-esteem
Need to develop stronger educational aspirations
Interest in careers in Math and/or Science
Need for additional opportunities, support and/or
Limited proficiency in English
Need to develop career goals
Need to improve achievement test scores
Additional comments that might assist us in evaluating this student's application
Please upload or send us a copy of the student's MOST RECENT GRADES and a TRANSCRIPT - including STANDARDIZED TEST SCORES for high school assessments.
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Guidance Counselor's Name
School Counselor Signature
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