In accordance with the TRIO Upward Bound eligibility requirements set forth by the U.S. Department of Education, I hereby certify and attest under penalty of perjury that the information I have provided on this application is true and correct to the best of my knowledge. I authorize Pima Community College Upward Bound Program access to my student’s academic and personal information through the school or district database and/or receive copies of transcripts, test scores, and any other information that may be necessary for participation in the program. I further authorize the staff of Pima Community College Upward Bound access to my student’s college enrollment, retention, and completion information, as well as financial aid information from colleges and the federal government. I further certify that I am aware that the provision of any false, fictitious, or fraudulent information or omission of any material fact may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims, or other violations. (U.S. Code Title 18, Section 1001; Title 20, Section 1097; and Title 31, Sections 3729-20 and 3801-3812).
The following consent shall be valid for the entire duration of my son/daughter’s participation in Upward Bound and until completion of a bachelor’s degree, or for 6 years following graduation from high school. I hereby grant permission for my son/daughter to participate in the Pima Community College – Northwest Campus Upward Bound year-round programming. I also give my consent for the following:
- For the high school where my son/daughter is enrolled to make available to the Upward Bound Program staff academic records (class schedules, test scores, transcripts, and attendance)
- Communication to obtain documentation verifying an applicant’s U.S. citizenship, or national permanent resident status, or of his or her intent to become a permanent resident.