Application Instructions

Thank you so much for your interest in EKU Upward Bound! PLEASE READ the instructions below so we can complete your application.  Please remember:

·  The application has five sections that must be completed. The sections are student information, application questions, confidential family income information, and additional documents.

·  If you see an “*”  by the field, that means you are required to answer the question.  You will not be able to move forward with the application until those particular questions are answered. 

·  The application requires a copy of several documents IF you have them readily available (custody documents, family income tax report from last year, ACT scores, grade transcripts, or an IEP).  If you have the documents available, please attach them to the fields where it is required.  If you don’t have a scannable copy, you can mail it to:

Becca Morrison

Patterson House

521 Lancaster Avenue

Richmond, KY  40475

·  If you start the application but are not able to complete or submit it until later, please remember that you will lose all of your work unless you are working off the same link, same browser, and same device. So the quicker you can hit the submit button, the better!

·  Questions? Contact the office at 859-622-1080 or visit our website at upwardbound.eku.edu

 

STUDENT INFORMATION

Parent/Guardian's Information

Parent/Guardian's Information

Application Questions

CONFIDENTIAL FAMILY INCOME AND INFORMATION

We are required by the U.S. Department of Education to obtain family income and other eligibility information from all participants served by the Upward Bound Program. All information will be held in strict confidence.

I verify by signing this document and submitting the requested documentation that the information I have provided is accurate to the best of my knowledge. I understand that this information will be held in complete confidence by the Upward Bound (UB) Program at Eastern Kentucky University.

STUDENT RECORDS RELEASE FORM

Below are three statements that need you and your parent or guardian’s electronic signature.  Please read through each section and then sign where indicated. This electronic signature serves as a written signature.

This information may be used to determine eligibility to receive services from the Upward Bound Program, to monitor the status and progress in secondary and post-secondary education, and to meet the needs of the student while participating in Upward Bound. Necessary records may include, but are not limited to, educational records for secondary and post-secondary institutions, and may also include medical, court, and other records. It is my understanding that these records will be released only to those who have legitimate educational interest, or otherwise are required by law to be disclosed by EKU.

PUBLICITY PERMISSION FORM
 

I give permission for the EKU Upward Bound program, its employees, and volunteers to record my likeness and voice on video, audio, photographs, electronic medium, or other news sources and mediums to:

(1)     Recognize UB participants and increase awareness about UB services and activities;

(2)     Share group photos on social media (i.e. Facebook and Instagram), brochures, and to recognize student achievement in press releases.

Your signature below grants permission, without any further consideration, for EKU and UB to use photographs, student’s name, school, writings, accomplishments, and other identifying information.

UPWARD BOUND FAMILY COMMITMENT 

I understand the purpose of the Upward Bound Program is to prepare participants to successfully complete a program of postsecondary education. As part of my personal efforts in this preparation, I commit to the Upward Bound Program through completion of high school. I agree to participate in all academic year and summer program components of Upward Bound.

I understand that attendance is an important and integral part of participation. Therefore, I agree to attend and actively participate in all classes, meetings, and activities sponsored by Upward Bound. I will comply with the rules and regulations of the Upward Bound Program and am aware that failure to comply could result in dismissal from the program.

 

Student Commitment

I, the student, understand and am willing to commit to meeting the following expectations:

• Participate in all activities during the academic year and summer program.
• Attend all meetings.
• Comply with the program’s rules and regulations.
• Maintain a good academic record.

Parent/Guardian Commitment

I give permission for my student to participate in Upward Bound activities during the 2024-2025 academic year beginning June 1, 2024 thru May 31, 2025. I understand the purpose of Upward Bound is to prepare my student to successfully complete a post-secondary education.

I agree to be involved in the following ways:

• Allow my child to participate in the required Saturday Academies and summer residential program
• Keep informed of my child’s progress in school
• Allow and encourage my child to attend all Upward Bound activities, meetings, trips (college and cultural) and the summer residential component
• Participate in parent Upward Bound events when scheduled
• Share concerns about my child’s education with Upward Bound staff
• Support the Upward Bound staff in their efforts on behalf of my child

I confirm that all information in this application is true and correct.

Thank you for completing this application! 

Upward Bound Staff will be contacting you as soon as possible.