I would like to participate in the Veterans Upward Bound (VUB) program and receive the free services provided. I grant permission to West Hills College Lemoore to request enrollment and/or degree verification from any post- secondary level institution that I am attending or will attend in the future. I also understand that VUB may also provide my information to WHCL.
As a program funded by the U.S. Department of Education, VUB is required to collect certain information about all participants and track my progress, as well as submit an annual report on the program's status, including its participants, to the Department of Education. I hereby grant my permission to VUB to use my name and/or picture for the purpose of promoting VUB in any media formats now existing or created in the future.
When using the Veterans Upward Bound computers and facilities, program participants will abide by the Students’ Rights and Responsibilities outlined in the West Hills College Lemoore Catalog (https://www.westhillscollege.com/lemoore/catalog/current/student-rights-and-responsibilities/#Code-ofConduct)
By submitting this application/pre-survey, I affirm that the information is true and correct to the best of my knowledge. Completion of this application indicates my desire to participate and receive services and for program staff to obtain and utilize my personal information to assist me in reaching my educational goals.