Forward Service Corporation Upward Bound JAM-Participant Contract

To Be Completed by the Student and the Parent/Legal Guardian/Responsible Person

Student Name*

First NameLast Name

Email*

example@example.com

Student's School*

If other, please specify*

Participant Contract

Participation in Upward Bound (UB) is a privilege and a commitment. If I am accepted into the UB program, I understand that participation requires:

Participate fully in the academic year program.
1. Attend weekly meetings with your UB instructor.
2. Meet with UB staff when conferences are scheduled.
3. Attend all group meetings and required events.
4. Abide by the rules and regulations of the program.
5. Maintain respect for yourself, staff, and other students.
6. Participate in required standardized academic testing and try to earn the highest score you are capable of.
7. Maintain attendance and demonstrate effort in improvement in your grades at school.
8. Enroll in postsecondary preparatory curriculum in your high school (postsecondary preparatory courses are those classes which will facilitate and enable students to attend a four-year college or university).
9. Provide postsecondary enrollment information to UB staff as needed for our Department of Education mandated Annual Performance Report up to 6 years following high school graduation.
Maintain my enrollment in the program until I graduate from high school.

I have read and understand the above listed requirements for the Upward Bound program and have discussed these requirements with my parent/legal guardian/responsible person. I want to be enrolled in the program and agree to the terms above.

Student's Signature*

Date*

mm-dd-yyyy

I understand the obligation of my child in the UB program and agree to the terms in which he/she will enroll. I further understand my responsibility to cooperate with members of the program throughout my child’s enrollment.*

YesNo

Signature of Parent/Legal Guardian/Other*

Date*

mm-dd-yyyy