• VUBRCC Form

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  • Veterans Upward Bound is a cost free federally-funded program through the U.S. Department of Education program designed to assist veterans in the development of the required skills needed to succeed in college or VoTech program of your choice.

    If you have any questions give us a call at 405.422.1405 or vub@redlandscc.edu or any of VUB's Academic Advisors:

    • Veteran's Participant Information 
    • Birth Date*
       - -
    • Sex*
    • Veteran's Eligibility Data 
    • Are You Currently a: (Select all that apply)*
    • Veteran Educational Status*
    • Do either of your parents have a bachelor's degree?*
    • Have you been out of school for 5 years or more?*
    • Ethnicity (Mark ALL that apply)*
    • Ethnicity*
    • Martial Status*
    • Veteran's Eligibility Statements 

    • To qualify for services offered through Veterans Upward Bound, a veteran must.

    • Do you have a documented disability (i.e. VA Service Connected Disability)?*
    • Are you currently serving on active duty?*
    • Have served on active duty as a member of the Armed Forces of the United States for a period of more than 180 days and was discharged or released under conditions other than dishonorable;*

    • OR

    • Served on active duty as a member of the Armed Forces of the United States and was discharged or released because of a service connected disability;*

    • OR

    • Was a member of reserve component of the Armed Forces of the United States and was called to active duty for a period of more than 30 days;*

    • OR

    • Was a member of a reserve component of the Armed Forces of the United States who served on active duty in support of a contingency operation (as that term is defined in section 101(a)(13) of title 10, United States Code) on or after September 11, 2001.*
    • Income Statement 

    • NOTE: Considerations for taxable income; VA Disability not taxable, SSDI may be
      taxable; Military retirement may be taxed dependent on the state you live in. (DoEd. Effective 1/15/25 until further notice)

    • Taxable Income Levels - Please Check the appropriate box.*
    • Mark the circle indicating your family (veteran and spouse) taxable income. (Do not include Military Retirement, VA Benefits/Disability Compensation, or other non-taxed income)*
    • By your 18th birthday, did your parent(s) / guardian with whom you lived have a 4-year (Bachelor's) degree?*
    • Rows
    • Needs Assessment 
    • What are you interested in? (Select all that apply)*

    • List three (3) program names/Degrees/Certification. (Type N/A if not applicable)

    • List three (3) Career or Job Title of the occupation you are exploring.  (Type N/A if not applicable)

    • Please check all that apply and list any specific needs or areas of concern:

    • Academic Need Requirements per the Annual Performance Report*
    • Admission Process - Needed to get admitted and enrolled in a postsecondary program?
    • Financial Literacy - Understanding the cost of attendance: what is available, and how to utilize and allocate funding, this could include designing a personal budget
    • Academic Preparation - Includes Basic Skills, Remedial, or Intensive Skill Development.
    • Referrals and Other Assistance - Services not provided by Veterans Upward Bound.
    • Standardized Assessment 

    • Select the correct answer in each of the 15 questions.

    • 1. The sum of the addition operation 5,463 + 45,874 is ___.*
    • 2. 102 - 43 = ___.*
    • 3. The lowest common denominator of 1/3 and 7/9 is ___.*
    • 4. 3 × 9 = ___.*
    • 5. 1540 - 632 - 88 = ___.*
    • 6. The sum of the addition operation 118 + 1065 is ___.*
    • 7. 6.5 × 7.2 =*
    • 8. 50 - 18 = ___.*
    • 9. .5 converted to a fraction is ___.*
    • 10. .21 converted to a percentage is ___.*
    • 11. -80 + -40 = ___.*
    • 12. If A represents the number of apples purchased at 60 cents each and B represents the number of bananas purchased at 75 cents each, which of the following represents the total value of the purchases?*
    • 13. If you walk the entire distance around the edges of a park, you have walked the park's ___.*
    • 14. What operation needs to be performed to solve the following word problem? There is a jar of 36 marbles. Joseph and Philip want to share the marble equally. How many marbles would each boy get?*
    • 15. The Smith Widget Company makes widgets that they sell for $23 each. During one week they sold a total of 163 widgets and the next week they sold slightly fewer widgets. At the end of the two weeks they had made a total of $6900. The number of widgets the company sold during the second week is ___?*
    • Signatures 

    • I attest that I am the applicant making this application to the U.S. Department of Education grant funded Veterans Upward Bound Program, and that all of the above information I have provided is true, complete, and accurate to the best of my knowledge and belief. I understand that any omission, inaccuracy, or failure to make full disclosure may be deemed sufficiently by the Veterans Upward Bound Program Director to deny continued participation in the Veterans Upward Bound program. (CFR 34 645.3; 645.4 (b); 645.6)

      I agree to receive SMS updates and notifications from Veterans Upward Bound. Message frequency varies; message and data rates may apply. Text STOP to opt out at any time.

    • Clear
    • Date
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    • MISSION STATEMENT: Veterans Upward Bound is designed to motivate and assist veterans in the development of academic and other requisite skills necessary for acceptance and success in a program of postsecondary education. This program is fully funded by the US Dept. of Education. Redlands Community College's mission is to foster a learning environment in which students, faculty, staff and community interact to educate students for life. IN COMPLIANCE with Title VI of the Civil Rights Act of 1967, Executive order 11246 as amended, Title IX of the Education Amendments of 1972, sections 503 and 504 of the Rehabilitation Act of 1973, and other Federal Laws and Regulations, Redlands Community College does not discriminate on the basis of race, color, national origin, sex, age, religion, handicap, disability, or status as a veteran in any of its policies, practices or procedures. This includes, but is not limited to admissions, employment, financial aid, and educational services.

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