• UPWARD BOUND PROGRAM
    UNIVERSITY OF MARYLAND EASTERN SHORE
    TELEPHONE: (410) 651-6458

    APPLICATION CHECKLIST

    TO THE STUDENT APPLICANT:

    THIS APPLICATION SHOULD BE COMPLETED BY YOU. HAVE YOUR PARENT OR GUARDIAN FILL IN THE INFORMATION PERTINENT TO THEM.

    1. PLEASE CHECK OFF EACH ITEM UPON COMPLETION TO INSURE THAT YOU HAVE ANSWERED ALL QUESTIONS. ONLY COMPLETED APPLICATIONS WILL BE CONSIDERED FOR EVALUATION AND ADMISSION TO THE UMES UPWARD BOUND PROGRAM.
    2. MAKE A COPY OF YOUR COMPLETED APPLICATION FOR YOUR PERSONAL RECORD.
    3. YOUR APPLICATION CAN BE MAILED OR FAXED TO OUR OFFICE

    APPLICATION INCLUDES:

    • PERSONAL INFORMATION
    • PARENT/GUARDIAN INFORMATION
    • COPY OF PAGES 1 AND 2 OF THE FEDERAL 1040/1040A TAX FORM OF THE PERSON WHO CLAIMS APPLICANT AS DEPENDENT OR NOTARIZED AFFIDAVIT, GRANT OR BENEFITS LETTER
    • TEACHER’S EVALUATION AND COUNSELOR’S RECOMMENDATION
    • PERSONAL STATEMENT
    • COPY OF CURRENT REPORT CARD
    • COPY OF SIGNED SOCIAL SECURITY CARD AND IMMUNIZATION RECORDS

    STUDENT APPLICATION

    This application must be completed by parent(s)/guardian and student. The information on this form will be used to determine whether students are eligible for the Upward Bound. Incomplete applications will not be processed. Please complete pages 1& 2 to the Upward Bound Office.

    • Student Information 
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    • School Information 
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    • THE FOLLOWING MUST BE SUBMITTED WITH THIS APPLICATION:

      • Teacher’s Evaluation and Counselor’s Recommendation
      • Personal Statement
      • Most Recent Report Card
      • Social Security Card and immunization records
      • Copy of pages 1 and 2 of most current Federal Income Tax Form (1040 tax form) or a copy of Grant or Benefits Letter (statement must be notarized) of the person who claims the applicant as a dependent.
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    • Personal Essay 
    • Parent Data 

    • Financial Information

      (To be completed by parent or guardian) In order to be eligible for the program, students must satisfy low-income criteria established by the U.S. Department of Education and/or meet first generation college student status.

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    • PARENT(S) GUARDIAN(S) PLEASE READ BELOW AND SIGN BELOW:

      In applying for a federally funded program, you should know that anyone making false statement or misrepresentation in establishing eligibility is subject to a fine or imprisonment or both under provisions of the U.S. criminal code.

      • I certify the information provided is correct to the best of my knowledge
      • I will participate in all Upward Bound activities requiring my presence and promise to attend at least 2 parent meetings during the year.
      • I give consent for my child to use public and private transportation for off-campus activities.
      • I authorize my child’s high school to release grade reports, transcripts and any other pertinent material now and throughout the duration of high school to the UMES Upward Bound Program.
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