Occidental College Upward Bound Application 2022-2023

Occidental College Upward Bound Application

This application is our initial introduction to you and will play an important part in consideration of you as an Upward Bound student. It is essential that the entire application be complete before it is submitted. Don't hesitate to add any information you feel is pertinent.
Parent Guardian Signature *

Clear
Date *

Month Day Year
Date
Applicant Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Email Address *
example@example.com
Date of Birth *

Month Day Year
Date
Are you a U.S Citizen: ( If not, it will not disqualify you from applying ) *

Yes No
Check one answer in each category below
Gender *
Ethnicity *
Race *
School *
Grade Level *
Small Learning Community:
Class Schedule: (Write in the applicants current class schedule below as well as the current grade. Example: English 9A. Grade B+) *

Applicant Information

Answer to the following questions will help us determine your motivation and preparation to undertake college work. Please answer as precisely and honestly as possible. Use complete sentences and avoid short responses such as "yes" or "no".
How did you hear about Upward Bound? *
What subjects do you find most interesting and enjoyable? *
Before hearing the UB Presentation, had you previously considered attending college? *

Yes No
Are you in any other college access programs? (AVID, College Match, Gear Up, other Upward Bound Program?) *

Yes No
If yes, Which other programs are you a part of? *
What extra-curricular activities are you involved in? *
Are you satisfied with your academic performance in high school? Why or why not? Be specific. *
Why do you think Upward Bound will make a difference in your academic performance in high school? *
How do you think participating in the OXY UB program will improve your options to attend college? Please explain. *

Personal Statement

This is your opportunity to tell us about YOU. In TWO paragraphs (5 to 7 sentences each paragraph), basically tell us about:
Paragraph ONE

1. Where were you born?

2. Are you the oldest, youngest or somewhere in the middle?

3. How many brothers and sisters do you have?

4. What kind of work do your parents do?

5. What is a typical day in your home life?

Paragraph TWO

1. Do you like school?

2. How is high school different from middle school?

3. Why do you want to be an Occidental College Upward Bound participant?
Personal Statement Response: *
Recommendation Form

Please download the attached file and give it to your teacher or adult in your community who will recommend you and speak on your behalf. Do not put a relatives information.
Full Name of Recommender *
Recommender's Email *
How long have you known this person? *
In what capacity? *
Upward Bound at Occidental College is a Title IV TRiO Program. Funds for the current cycle 2018-2023 are provided through the U.S Department of Education, (90% of project cost); USDA/SFSP/CDE (2% of project cost); and a matching grant from Occidental College, (8% of project cost). Participation in the Upward Bound Project at Occidental College is available to eligible students without regard to race, color, national origin, age sex, or handicap. Any individual who believes that he or she has been discriminated against in an U.S Department of Education program , activity or service should write the Secretary of Education, Washington, D.C. 20250.
Should be Empty:

Occidental College Upward Bound Application

Check one answer in each category below

Financial Information

Applicant Information

Personal Statement

Recommendation Form