Bowdoin College-UB 1-Eligibility Form Logo
  • BOWDOIN UPWARD BOUND ELIGIBILITY ASSESSMENT FORM

  • This form should be completed by the parent(s) or guardian(s) of the student who is applying to Upward Bound. 
    All information is confidential and is required to determine eligibility for UB. 
    If you have any questions, please contact our office at 1-877-879-2731.
  • Upward Bound at Bowdoin College works collaboratively with high school personnel as we assist students in graduating from high school and preparing for success in college. The school will be asked to provide academic information during the Bowdoin Upward Bound selection process and if accepted, for the remainder of high school.

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  • (If YES, skip to the end of form, sign and provide case manager contact with release.)

  • *  Your Taxable Income is listed on your income tax return on lines:  

    2023 Form 1040- on line 15

  • I CERTIFY THAT THE INFORMATION REPORTED ON THIS ELIGIBLITY STATEMENT IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, CORRECT, AND COMPLETE.

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  • ACADEMIC RECORDS RELEASE

  • Upward Bound at Bowdoin College works collaboratively with high school personnel as we assist students in graduating from high school and preparing for success in college. The school will be asked to provide academic information during the Bowdoin Upward Bound selection process and if accepted, for the remainder of high school.

  • I/We the undersigned,

    1.    Permit the release of the following student records for the above-named student as part of the application to Upward Bound and, if accepted, continuously for the remainder of high school:

    • Academic Transcript & current grades
    • NWEA/Map Growth Assessments
    • PSAT Scores
    • SAT Test Scores/SAT Subject Test Scores
    • Relevant IEP and/or 504 plans
    • Any other pertinent academic information
    • Disciplinary history

    2. Permit high school administrators, student services staff and teachers to discuss the student’s academic progress and disciplinary history with Upward Bound staff.

    3. Permit Upward Bound to share information with the school and community agencies which will contribute to my child’s success.

    This academic records release expires 6 years from the high school graduation date above, in accordance with the terms of the federal Upward Bound grant, even if the student withdraws from the Upward Bound program.

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  • MEDIA RELEASE

    I authorize the use of my name and photographs for print & social media (including the Upward Bound yearbook, website, brochures, posters and news articles) as they relate to Upward Bound events & information.

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  • COLLEGE TRANSCRIPT & TRACKING RELEASE

    Upward Bound is required by the US Department of Education to track college enrollment & progress of all participants for six years beyond high school. If selected, I authorize the release of all of my college enrollment, major and degree completion information to Bowdoin UB form secure third parties such as National Student Clearinghouse for tracking purposes.

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  • New Student Releases

  • I/We the undersigned, agree to the student records and media release that are detailed in the four areas below and initialed by us. I/We understand that, if selected for Upward Bound, this authorization for release of information remains in effect for six years after high school graduation. Records will be released to: Bowdoin Upward Bound, 3400 College Station, Brunswick ME  04011-8425. 

  • COLLEGE FINANCIAL AID RELEASE

    I authorize any college to which I apply to provide Financial Aid (FA) information (including package details & status) to Bowdoin College Upward Bound staff. I authorize Upward Bound staff to discuss my FA award with college FA administration where I have applied.

  • HIGH SCHOOL RECORDS RELEASE

    I authorize my high school to provide the following to Upward Bound at the time of application: guidance recommendation, complete transcript with attendance and test scores, immunization and health information from school nurse and, if applicable an IEP or 504 plan. 

    I selected for UB, I authorize the release of test scores, grades, academic progress and attendance to UB on an ongoing basis via the school's electronic system of grades or through the guidance office.

  • Parent/Guardian Input

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  • Bowdoin Upward Bound
    3400 College Station
    Brunswick, ME 044011
     
    Web Address: https://www.bowdoin.edu/upward-bound/index.html
    Telephone: 207-725-3559
    Toll Free: 1-877-879-2731
     
    Bowdoin College Upward Bound is 100% funded through a grant from the US Department of Education in the amount of $ 549, 947

    Bowdoin College complies with applicable provisions of federal and state laws that prohibit discrimination in employment, admission or access to its educational or extracurricular programs, activities, or facilities based on race, color, ethnicity, national origin, religion, sex, sexual orientation, gender identity and/or expression, age, marital status, place of birth, veteran status or against qualified individuals with disabilities on the basis of disability.

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