I declare, to the best of my knowledge, that the information on this application form is true, correct, and complete. I understand that the Upward Bound program cannot be held liable for any occurrences either during the school year or the summer portion of the program. I agree to the release of information for program publications and press releases.
I hereby consent release of my secondary and post-secondary academic and student records to the Upward Bound Program. The Upward Bound Program requires my academic information to determine eligibility for admission. Information requested by the Upward Bound Program will include grade and progress reports, attendance and behavioral records, transcripts, standardized test scores, special education records, and related material not otherwise listed.
I fully understand that the Kishwaukee College Upward Bound Program will request information for only the purposes mentioned above, and that they will observe my confidentiality through the proper maintenance of records in secured files. For more information, contact the TRIO Upward Bound Director, Tijhana Hobson at (815) 825-9437 or trioub@kish.edu