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  • CRANBROOK HORIZONS‐UPWARD BOUND NEW STUDENT APPLICATION

    2020-2021
  • Si desea ver el formulario en español, cambie el idioma en la esquina superior derecha.

  • PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS APPLICATION

    • Leave nothing blank, missing information may affect your chances for acceptance into  Horizons‐Upward Bound (HUB)
    • If a question does not apply to your situation write N/A (Not Applicable)  
  • INCOMPLETE APPLICATIONS WITH MISSING INFORMATION AND/OR MISSING DOCUMENTS WILL NOT BE ACCEPTED

    SECTION 1. STUDENT INFORMATION
    To be completed by the student applicant. 

    SECTION 2: PARENT(S)/GUARDIAN(S) INFORMATION
    To be completed by parent/guardian (parent/guardian signature required).

    SECTION 3: STUDENT RECORDS RELEASE FORM
    To be completed by student applicant and parent/guardian (signatures required).

     

    **Please submit completed applications no later than two weeks after the HUB presentation.

  • CHECKLIST FOR APPLICATION SUBMISSION

    1. Student’s Completed Application

    • Student Information
    • Parent(s)/Guardian(s) Information (Parent Signature)
    • Student Records Release Form (Student & Parent Signature)
    • Counselor Recommendation Form
    • Math Teacher Recommendation Form
    • English Teacher Recommendation Form
  • MAILING ADDRESS
    Horizons-Upward Bound
    PO Box 801
    Bloomfield Hills, MI 48303-0801
    LOCATION
    Cranbrook Schools
    Horizons-Upward Bound
    520 Lone Pine Road
    Bloomfield Hills, MI 48304
    Office: 248.645.3593
    Fax: 248.645.3081
    huboffice@cranbrook.edu
    www.schools.cranbrook.edu/hub
    CONTACT
    Ms. Brenda Gatlin
    Office: 248.645.3184
    Cell: 313.715.4107
    huboffice@cranbrook.edu

    • SECTION 1: STUDENT INFORMATION  
    • SECTION 1: STUDENT INFORMATION

      This page to be completed by the STUDENT.

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    • The following information is required by the federal government but has no bearing on your selection for the program.

    • SECTION 2: PARENT(S)/GUARDIAN(S) INFORMATION  
    • SECTION 2: PARENT(S)/GUARDIAN(S) INFORMATION

      This section is to be completed by the adult who is LEGALLY responsible for the applicant. Information regarding this applicant’s household income is required by the U.S. Department of Education to determine eligibility for participation in the Horizons‐Upward Bound Program. Information requested is kept confidential.


    • PRIMARY PARENT(S)/GUARDIAN CONTACT

    • SECONDARY PARENT(S)/GUARDIAN(S) CONTACT (if applicable)

    • FINANCIAL INFORMATION


    • ADDITIONAL CONSIDERATIONS

    • PARENT/GUARDIAN AGREEMENT
      I fully support my child’s application for admission into the Cranbrook Horizons‐Upward Bound Program and will attend an interview with my child during New Student Applicant Day.

      I verify that all the information ‐ including all financial information reported is true and complete to the best of my knowledge. I understand that falsification of any part of this application may result in my child’s denial or cancellation to the program.

      Should my child be chosen to become a part of Horizons‐Upward Bound, I give HUB permission to photograph my student and give consent to the use of those photos for program promotion.

      If my child is accepted, I agree to support his/her participation in both HUB’s Summer Component and Academic Year.

      I understand that my cooperation with the Horizons‐Upward Bound staff, including participation in Parent Meetings/Workshops is essential to my son/daughter’s admission and continuation in the program.

      I will monitor my student’s activities/behavior and will model appropriate behavior when in the presence of students.

      I understand that my electronic signature is legally binding and that my electronic signature may not be invalidated solely on the basis that the signature was electronically obtained.

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    • SECTION 3: STUDENT RECORDS RELEASE  
    • SECTION 3: STUDENT RECORDS RELEASE FORM

      Horizons-Upward Bound
      PO Box 801
      Bloomfield Hills, MI 48303-0801
      Office: 248.645.3593 | Fax: 248.645.3081
      huboffice@cranbrook.edu

    • I acknowledge that the purpose of the Cranbrook Horizons‐Upward Bound program is to prepare me/my child to successfully graduate from high school and a four‐year post‐secondary institution of higher education. As a federally‐funded program, Upward Bound must abide by the U.S. Department of Education’s policies and regulations in regards to tracking current and former Upward Bound students [Authorization: U.S. Department of Education: 34 DFR Part 645.32 (b) (4) and (b) (5)]. As such, I understand Horizons‐Upward Bound’s obligation in obtaining academic documentation from my current or previous high school(s) and six years following the end of my high school graduation and enrollment into a four‐year post‐secondary institution.

      I hereby authorize all high‐school and post‐secondary documentation (transcripts/ grades, testing, attendance and citizenship information) to be released to Cranbrook Horizons‐Upward Bound.

      I understand that my electronic signature is legally binding and that my electronic signature may not be invalidated solely on the basis that the signature was electronically obtained.

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    • SAVE THE DATE  
    • SAVE THE DATE

      NEW STUDENT/PARENT APPLICANT DAY

      APRIL 24, 2021

      1:00 PM – 5:00 PM
      HORIZONS-UPWARD BOUND
      Cranbrook Schools

      Students who submit a complete application will be mailed an invitation letter with details to attend Cranbrook Horizons-Upward Bound’s New Applicant Student/Parent Day in early April.

      To be considered for the Horizon-Upward Bound Program the student must attend a Detroit Public School. Both student and parent/guardian must attend April 24!

      Cranbrook Horizons-Upward Bound is funded by a US Department of Education Grant and private sources. 

      THERE IS NO MAKE-UP DAY 

      Cranbrook Horizons-Upward Bound
      39221 Woodward Ave.
      PO Box 801
      Bloomfield Hills, MI 48303
      Office: 248.645.3593 | Fax: 248.645.3081
      huboffice@cranbrook.edu

      CONTACT

       Ms. Brenda Gatlin

      Office: 248.645.3184

      Cell: 313.715.4107

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