Occidental College Upward Bound Application 24-25

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*

MonthDayYear
Date
Applicant Name *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

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

MonthDayYear
Date
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?*

YesNo
Are you in any other college access programs? (AVID, College Match, Gear Up, other Upward Bound Program?)*

YesNo
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 provide information of a teacher or adult in your community who will recommend you to our Project. 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 Occidental College

Funds for the current cycle 2023-2028 are provided through the U.S. Department of Education, $651,754 (91% of project cost); USDA/SFSP/CDE $10,500 (3% of project cost); and a matching grant from Occidental College, $34,040 (6% 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

Upward Bound Occidental College