2021 Application: TRIO Upward Bound & Upward Bound Math-Science

Student Application

Upward Bound & Upward Bound Math-Science
Welcome to the online application for our TRIO Upward Bound and Upward Bound Math-Science programs at Carl Sandburg College! You can easily complete and then submit your application from most internet-compatable devices (computer, tablet, phone, etc.)!

Be sure to SAVE YOUR WORK as you progress through the application. (The option to save is at the bottom of each page).

Application deadline: April 5, 2021

If you have any questions about this application, the application process in general, and/or our programs, please don't hesitate to contact us!

Upward Bound    UB Math-Science

309.341.5268 309.341.5228
jstalides@sandburg.edu swoodard@sandburg.edu
www.sandburg.edu/TRIO-UB      www.sandburg.edu/UBMS
Sandburg TRIO Upward Bound   Sandburg Upward Bound Math-Science

Thank you for considering our programs! We look forward to hearing from you!

Information About TRIO UB & TRIO UBMS
What are TRIO Upward Bound and TRIO Upward Bound Math-Science?

Upward Bound (UB) and Upward Bound Math-Science (UBMS) are college readiness programs designed to assist high school students to develop the skills and motivation necessary to successfully pursue and complete a college education. UBMS specifically helps students recognize and develop their potential to excel in math and science in secondary and postsecondary education. Students are welcome to apply for both programs, but will only be admitted to one.

Who may apply?

Students may apply if they are in 8th, 9th, or 10th grade and attend one of our target schools (Abingdon-Avon, Galesburg, Knoxville, ROWVA).

Applicants must be:
- A U.S. citizen or permanent resident of the United States;
- A first-generation college student (parents/guardians have not earned a four-year college degree); AND/OR
- Is considered income-eligible based on family’s taxable income for 2020.
Students may also be eligible for UB if they have a high risk for academic failure.

What benefits do students receive from participating in UB/UBMS?

Both programs offer academic services of tutoring, workshops, and college academic advising designed to enhance student academic skills and achievement.

UB/UBMS also offer weekly, grade-specific academic sessions including:
- College visits
- Help with college and scholarship applications and essays
- Financial aid and FAFSA assistance
- SAT prep and test waivers
- Study skills
- Career and college exploration
UB/UBMS offer a Summer Enrichment Program for all of our students.
- Rising Sophomores and Juniors participate in a 6 week on-campus program focusing on English, math, science, foreign language, and weekly college visits.
- Rising Seniors have the opportunity to complete a paid summer internship in a career field of their choice.
- Graduating Seniors are given the opportunity to complete up to two college courses for credit. (Summer Bridge)
- All summer participants have the opportunity to attend a week long Summer Trip at the conclusion of the summer program.
All Upward Bound and Upward Bound Math-Science events, workshops, and trips are FREE for program participants!
The Carl Sandburg College Upward Bound and Upward Bound Math-Science programs are 100% funded by the US Department of Education.

PERSONAL INFORMATION

Application Due April 5, 2021
Student Name *

First Name Last Name
Student Birthdate *

Month Day Year
Address *

Street Address

Street Address Line 2

City State

Zip Code
Cell Phone *
Home Phone
Email (non-school) *
example@example.com
Current School *
Current Grade *
Gender *
T-Shirt size *
Which program(s) are you applying to? *
ELIGIBILITY
Are you a US citizen or permanent resident? *
What is the highest level of education achieved by your parent(s) or legal guardian(s)? If your parents are divorced, reply only in regards to the parent who has primary custody: *
INCOME
Add up the total number of individuals in your household. The number should include yourself, parents, and siblings who are under the age of 24 if the parents provide more than half of their support. Also include other people if they now live with your parents and the parents provide more than half of their support. If your parents are divorced, include information for only the parent with whom you live (custodial parent) and step-parent if applicable.
What is the total number of people living in your household including yourself? *
Please select the range that includes your family's household taxable income for 2020. Taxable income is reported on line 10 of the 1040 tax form. *
Statement of Commitment
The Carl Sandburg College Upward Bound and Upward Bound Math-Science programs are 100% funded by the US Department of Education to raise college entrance and graduation rates in Knox County. This is a year-round educational experience. UB/UBMS students are required to attend scheduled workshops, participate in program travel, attend after-school tutoring and participate in the six-week summer program held on the Carl Sandburg College campus.

My signature below indicates, to the best of my knowledge, the information provided on the UB/UBMS application is true, complete and accurate. I hereby authorize the Carl Sandburg College staff to obtain copies of my child’s academic and financial assistance records from the educational institution he or she is now attending and from educational institutions attended in the future.
Student Signature *

Clear
Date *

Month Day Year
Date
Parent/Guardian Signature *

Clear
Date *

Month Day Year
Date

Personal Statement Instructions
You must complete a personal statement as part of your application. This statement is your opportunity to explain how TRIO Upward Bound and/or TRIO Upward Bound Math-Science will help you and how you can contribute to the program. This statement is also an opportunity for UB/UBMS to get to know you on a more personal level. Your personal statement will be evaluated for content, organization, creativity, and attention to detail.

Consider the following questions as you write:
- Why are you interested in Upward Bound and/or Upward Bound Math-Science, and what makes you a good fit?
- What obstacles may prevent you from getting into college? How can you overcome it?
- What are some of your academic weaknesses?
- What are you doing to strengthen your skills in these areas?
- How would you balance our program with other activities you may be involved in such as sports, work, church and family?
- Who inspires you to achieve your personal and academic goals?
We ask that you please type your personal statement in the space provided below.

*Helpful tip: Type your personal statement in a word document (so you can save as you write) and then copy and paste it to the box below.
*

Parent Questionnaire

Application Due April 5, 2021
TRIO UB/UBMS value parental support. This parent questionnaire is part of the application and must be turned in for your student to be considered for the program.
Applicant Name *

First Name Last Name
Parent/Guardian Name *

First Name Last Name
Current School *
Parent Phone *
How did you learn about Upward Bound and/or Upward Bound Math-Science? *
Why do you want your child to be in Upward Bound or Upward Bound Math-Science? *
How much support can the program expect from you in regards to your student’s involvement in this program? *
When a participant in the program drops below a “B” in a core course, they may be required to attend tutoring sessions, meet with TRIO staff, or devise a plan for improvement. How would you support/challenge your student if they did not want to follow these requirements? *
How do you think this program can help your child improve academically and socially? *
What goals do you have for your child? *
Any additional comments or information you would like us to know?

Permission to Release Information

Application Due April 5, 2021
Student and parent signatures on this form thereby give the administrator(s), counselor(s), faculty or staff member(s) of the Jr. High School and High School of attendance of the below signed student permission to release current grade transcripts and/or test scores to representatives of the Upward Bound and Upward Bound Math-Science program of which the below signed student has applied. This release will be kept on file in the Upward Bound and Upward Bound Math-Science offices.
Student Name *

First Name Last Name
Parent/Guardian Name *

First Name Last Name
Name of Junior High *
Name of High School *
Student Signature *

Clear
Date *

Month Day Year
Date
Parent/Guardian Signature *

Clear
Date *

Month Day Year
Date
The College, an equal opportunity/affirmative action employer and educator, complies with applicable federal and state laws prohibiting discrimination, including Title VI, Title IX, Section 504, Age Discrimination Act, and Title II of the ADA. It is the policy of the College that no person, on the basis of race, color, religion, gender (sex), sexual orientation, national origin, age, disability, or veteran’s status, or status in any group protected by application federal, state or local law shall be discriminated against in employment, in educational programs and activities, or in admissions. Title IX Coordinator Rick Eddy, 309.341.5234; ADA/Section 504 Coordinator: Jacob Runge, 309.341.5262.

The Carl Sandburg College Upward Bound and Upward Bound Math-Science programs are 100% funded by the US Department of Education.

Teacher Recommendation
Please enter the name, school, and class of the teacher you would like to submit a recomendation for you, and we will send our recomendation form to that teacher. It would also be helpful if you can provide the teacher's email (if you have that information).

*Your Teacher Recommendation must be from an English, Math, or Science class you have taken with the teacher.
Teacher Name *

First Name Last Name
School *
Class Taught *
Teacher's Email
example@example.com

Submit Your Application!
Congratulations on completing your application for our TRIO Upward Bound and Upward Bound Math-Science programs! When you have completed all the required fields, click on the "submit" button below.

Once we have received your application, a representative from UB/UBMS will contact you about getting an interview scheduled. This interview is part of the application process and must be completed with student and parent/guardian present. All interviews will take place virtually through zoom unless an alternative arrangement must be made.

Thank you again for your interest in our programs!
The Carl Sandburg College Upward Bound and Upward Bound Math-Science programs are 100% funded by the US Department of Education.
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Student Application

Information About TRIO UB & TRIO UBMS

PERSONAL INFORMATION

ELIGIBILITY

INCOME

Statement of Commitment

Educational Plans & Program Services

Goal Setting

Personal Statement Instructions

Parent Questionnaire

Permission to Release Information

Teacher Recommendation

Submit Your Application!