Dear Applicant:

Thank you for your interest in applying for admissions to the CSLA Upward Bound Program. The goal of the program is to generate in program participants the skills and motivation necessary to complete a program of secondary education and to enter and succeed in a program of postsecondary education. Please make note of the following information before you complete the online application.

To be eligible to participate in the program, applicants must meet the following eligibility criteria:

• Must be a U.S. Citizen or Permanent Resident
• Must be a low-income individual and/or a potential first-generation college student
• Must be enrolled at one of the following target schools
  • LAUSD – Garfield High School or Wilson High School
  • PUSD – Blair IB, Marshall Fundamental, Muir High School, Pasadena High School

The program offers the following services to eligible participants:

• Study Hall – After school tutoring
• Saturday Academy – Supplemental academic instruction and tutoring
• Enrichment Activities – College visits, educational/cultural trips, college awareness and financial literacy workshops
• Summer Program (6 Weeks) – Rigorous academic instruction and tutoring in English, math, science, and foreign language
• Academic Advising – Weekly academic advising

Please complete all required sections of the online application. All information provided will be kept strictly confidential.

Contact the Upward Bound Office if you have any questions and/or need assistance.

California State University, Los Angeles
TRIO Upward Bound & Upward Bound Math/Science
5151 State University Drive – King Hall D150
Los Angeles, CA 90032
Phone (323) 343-3238

Fax (323) 343-3244

 

Application Checklist

• Student Information
• First Generation Verification
• Income Verification
• Questions to be Completed by Applicant
• Personal Statement
• Release Form
• Recommendation Form from an English or Math Teacher or School Counselor

Enter the name(s) of the parent(s) or legal guardian(s) with whom the student lives with:

Parent #1

Parent #2

Please include the name and email of the English or Math Teacher or School Counselor who will be completing your recommendation form.

Authorization to Release Student Information

Authorization is hereby given to the CSLA Upward Bound Programs to request and receive the information listed below from my child’s middle school, high school and the National Student Clearinghouse:

1. Academic transcripts with current standardized test scores.
2. Current cumulative records
3. 5, 10, 15, and 20 week progress reports
4. Fall Semester and Spring Semester Grades
5. SBAC test scores
6. SAT/PSAT/ACT Test scores
7. Postsecondary Education Enrollment Verification

These records will be used for the following purposes:

• To determine academic need and program eligibility.
• To monitor on a regular basis the academic performance and progress of the participant named below throughout his/her participation in the program and beyond.
• Provide information to the U.S. Department of Education as part of the required annual performance report.

I understand and agree that the CSLA Upward Bound Programs will not allow a third party to have access to this information without the written consent of the participant’s parents/guardians.

I understand that by signing this form, permission is granted to use photos of the participant on the program’s social media, brochures and website. In addition, the CSLA Upward Bound program may also wish to use my child’s photograph, voice, or student work for promotional and educational reasons, such as publications, posters, newsletters, a radio station, a Cable TV channel, or at community fairs.

I understand the purpose of the Upward Bound Program, which is to prepare participants to successfully complete a program of postsecondary education, and I would like to have my child participate. I agree to be involved in the following ways: (1) staying informed of my child’s progress in school; (2) encouraging my child to attend all UB activities; (3) participating in UB events in which parents are invited; (4) sharing concerns about my child’s education with UB staff.

I hereby certify that all the information provided in this application packet is true and correct. I understand that a false statement or misrepresentation will make the applicant ineligible for the CSLA Upward Bound Program.