• Rollins College

    Upward Bound Program

    Participant Application

     

    Upward Bound is a program that helps students develop the skills and motivation necessary to graduate. All Upward Bound activities and services are free to students enrolled in the program. The program provides opportunities for participants to succeed in their pre-college performance and ultimately in their higher education pursuits. Upward Bound serves Central Florida high schools (Evans, Jones, Wekiva and Oakridge) students from low-income families; and high school students from families in which neither parent holds a bachelor's degree. The goal of Upward Bound is to increase the rate at which participants complete secondary education and enroll in and graduate from institutions of postsecondary education.

     

    Upward Bound serves participants year-round with the school year components of the program designed to support students in their academic performance. Our six-week summer experience further develops interpersonal skills, college prep, and next grade academic exposure. Participants will be exposed to multi-subject experiential activities, as well as cultural exposure. Students will be provided with the opportunity to engage with peers from partnering schools fostering an environment of diversity, inclusion and friendship. 

     

    Program Dates: Service dates are determined based on target county dates and are subject to change.

    Exact dates will be given once deteremined by Program Director.

    Academic Year September-May

    Summer June -July

  • Rollins College

    Upward Bound Program

    1000 Holt Avenue, #2758

    Winter Park, Florida 32789-4496

    (407) 646-2282

    • APPLICATION FOR PARTICIPATION 
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    • Racial/Ethnic Origin – please answer both questions 1 and 2.

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    • Rollins College

      Upward Bound Program

      PARENT / GUARDIAN QUESTIONNAIRE

    • Emergency Contact:

    • Student Profile 

    • Please answer the following questions, using your keyboard, to type in the spaces provided below.

    • Family Income Information 

    • To be completed by parent or guardian

      For Rollins College to determine eligibility for Upward Bound participation, federal regulations require documentation of the applicant's family size (# of exemptions) and taxable income for the preceding calendar year.  Therefore, you are asked to complete submit  ONE of options below for income verification:

      SIZE INCOME
      1 $19,320
      2 $26,130
      3 $32,940
      4 $39,750
      5 $46,560
      6 $53,370
      7 $60,180
      $66,990
      8 $66,990

    • Option 1: Self Reporting

      SECTION 1 -- FOR PARENT(S) WHO FILE AN IRS 1040 OR 1040A FORM

    • From Form 1040,

    • OR

      From Form 1040A, 

    • SECTION 2 --  FOR PARENT(S) WHOSE INCOME WAS NOT LARGE ENOUGH TO REQUIRE FILING OF AN IRS 1040 OR 1040A FORM

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    • Option 2: Submit one of the following forms for income verification.

       

      • A copy of the current 1040, 1040A, or 1040EZ income tax forms (W-2 not acceptable)
      • A copy of your benefits letter from the Department of Family and Children Services
      • A copy of your unemployment benefits
      • A copy of your Social Security benefits
      • A copy of your Veterans benefits
      • A signed income statement from the student's parent or legal guardian
      • A letter from the current school the student attends indicating that they receive free or reduced lunch
      • Free Application for Federal Student Aid (FAFSA) Student Aid Report
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    • COUNSELOR RECOMMENDATION FORM 

    • COUNSELOR RECOMMENDATION FORM

      Please submit your counselor's and teacher's e-mail addresses for your recommendations. An e-mail will be sent directly to your counselor and teacher to complete your recommendation online.

    • Signature Authorization 
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    • *Disclaimer: PRIVACY ACT

      I understand that the information concerning me, my spouse, and child as a client will be kept in confidence and will not be revealed to anyone except TRIO Programs personnel in accordance with the Family Educational Rights and Privacy Acts.

      I certify that all information provided in this application is accurate. I understand that falsifying information will result in immediate rejection of this application.

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