Truman State University-UB-2024 Application Form

Truman State University Upward Bound

2024 Student Application

Student Application
Thank you for your interest in becoming a part of Upward Bound. This section is your opportunity to provide the application review committee with more information about your interest in attending college, academic preparation in high school and goals for the future. Therefore, please know that you will be asked 4 short answer questions toward the end of the application form that you will be expected to answer in 50-100 words each.

If you are unable to complete the student section in one sitting, you can choose to save your application progress and then return to the application later for completion and submission. In order to save your application for completion later, scroll to the end of the form and select SAVE. If you choose 'skip create an account' at the bottom, you will be prompted to provide an email address. A link will be sent to the email you list that is required to access your partially-completed application. The email will be from Compansol and the subject line will be Continue filling out this form later. It is important that the email address you list accepts email from outside parties (some high school emails restrict emails from outside the school).
Full Legal Name:*

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email Address (one that will allow you to receive emails from outside your school & one that you check often).*
example@example.com
Student Cell Phone Number
(999)999-9999
Home Phone Number (if different than student or parent cell phone number)
(999)999-9999
Date of Birth:*

MonthDayYear
mm-dd-yyyy
Current Age*
Gender*
Social Security Number (information is encrypted for security)*
999-99-9999
Are you a U.S. Citizen or Permanent Resident of the United States? (A Permanent Resident is someone who has been granted authorization to live and work in the USA on a permanent basis and has been issued a 'green card' by US Citizenship and Immigration Services)*

I am a US CitizenI am a Permanent Resident of the USOther (please contact the UB Office at 660-785-4244 to determine if you are eligible to receive UB services)
School Student Currently Attends*
Current Grade in School*
Ethnic/Racial and disabling condition questions used only for federal reporting.

ETHNIC/RACIAL BACKGROUND
Are you of Hispanic/Latino origin?*

YesNo
Please indicate your race below. Check all boxes that apply.*

American Indian or Alaskan NativeAsianBlack or African-AmericanWhiteNative Hawaiian or other Pacific IslanderRace and Ethnicity Unknown
If you have any type of disabling condition, please explain:
Optional - Upload a picture of yourself here.

Cancelof
We'd like to know more about the high school classes you plan to take before graduation. For each subject, let us know how many years of that subject you plan to take by the time you graduate.

For example, if your plan for English classes to take is English I (9th grade), English II (10th), English III (11th), English IV (12th), then you would select 4 years of English when asked.
By the time you graduate high school, how many years of English classes will you have taken:*

1 year2 years3 years4 yearsI'm not sure
By the time you graduate high school, how many years of Foreign Language classes (e.g. Spanish or French) will you have taken:*

1 year2 years3 years4 yearsI'm not sure
By the time you graduate high school, how many years of Science classes (e.g. Biology I or II, Chemistry, Physics) will you have taken?*

1 year2 years3 years4 yearsI'm not sure
By the time you graduate high school, how many years of mathematics classes (e.g. Algebra I, Geometry, Algebra II, College Algebra, Statistics) will you have taken?*

1 year2 years3 years4 yearsI'm not sure
My plan following graduation (please check one):*

I am undecided about my future educational plansI plan to enter a career or join the military immediately after high schoolI plan to continue my education immediately after high school by attending a FOUR-YEAR COLLEGE/UNIVERSITYI plan to continue my education immediately after high school by attending a TWO-YEAR COLLEGE/UNIVERSITYI plan to continue my education immediately after high school by attending a TECHNICAL OR TRADE SCHOOLI have other plans that do not include any of the above
HELP US GET TO KNOW YOU BY ANSWERING THE FOLLOWING 4 SHORT ESSAY QUESTIONS!

Please write about a paragraph (50-100 words) for each question.
If you could be doing anything you wanted to do 5 years from now, what would you be doing and why? What is your ultimate career goal?*
Who in your immediate family has attended and/or completed a four-year college degree? Discuss who (if anyone) encourages you to go to college? Why do you want to go to college?*
Discuss what you hope to gain by joining Upward Bound. Why did you apply?*
Do you feel that your high school grades are a true reflection of your ability? Why or why not?*
List ALL extracurricular/outside activities that you are involved in. If you work, list that also (including where you work and, on average, how many hours per week you work).*
Participants in Upward Bound attend afterschool meetings once per week during the school year and attend a summer academy on campus for 4 weeks during the summer. If selected to join UB, is there anything that might prevent you from being able to participate fully in all UB activities or cause you to quit? (for example: part-time job, homesickness, family responsibilities, transportation)*
In the past three years have you had any of the following?*

ISS detentionOSS detentionBeen arrestedBeen convicted of a misdemeanorBeen convicted of a felonyNo to all of the above
If you answered yes to any of the above, please explain and detail the circumstances.
Honestly reflect on yourself and react to the statements below. MARK THE CHECKBOXES FOR ALL ITEMS THAT ARE TRUE FOR YOU. You can check all that apply.
This is true for me

I have a specific time and place that I study at homeI struggle to keep track of and submit all of my assignments by their due dateI sometimes don't complete homework because I don't know how to do it and need helpMy parent(s) ask about my homework or grades each weekI need help exploring and choosing a collegeI usually want to be at schoolI have siblings/cousins/friends who have dropped out of schoolI have considered dropping out of schoolI am considering joining the militaryI know that I will have completed a rigorous college-prep curriculum by the time I graduate high schoolI need to improve my self-concept or be more confident in order to be successful in collegeI worry that my high school classes will not have adequately prepared me for collegeI know how to apply for federal financial aid in order to pay for collegeI could use help preparing (& paying for) the ACTManaging stress and personal issues is sometimes difficult for meI would like to be more involved in extracurricular and leadership activities at schoolI am not sure how to best prepare (classes/major/college to select) for the career I wantI need to do a better job budgeting and managing moneyI am interested in a career in math or scienceI would like to develop better social/interpersonal skills
Is there any other information you would like for us to know when considering your application? If yes, include it here.
Name of Parent/Guardian who will complete PARENT/GUARDIAN HOUSEHOLD INFO Section

First NameLast Name
Your parent/guardian will receive an email with a link to complete their portion of your application. Please type the parent/guardian email address where this link should be sent. It is important you enter a valid and accurate parent/guardian email address. If you need a paper version of the form, please contact the UB office at ubub@truman.edu.*
example@example.com
Name of High School Counselor
Your high school counselor will be emailed a link to submit your academic records.
HS Counselor Email Address*
example@example.com
Please sign your full legal name below to indicate that you have read and agreed to the following:

I certify that the previously-stated Information is true and correct to the best of my knowledge

Because Upward Bound works in conjunction with area high schools for the educational advantage of students, I hereby give permission for the following
- Upward Bound and my high school have permission to mutually exchange all academic, medical and disciplinary records, including transcripts of grades and test scores, parent portal access, etc.
- For the purpose of highlighting program services and student successes, Upward Bound may publish my pictures in press releases, video footage, web-page information or other media
- As an Upward Bound participant, I understand that I will use technology, be assigned an email and access the Internet. I will do so responsibly
- Upward Bound program personnel may transport me from time to time for program activities
- Upward Bound has permission to follow-up on me after high school for federal reporting purposes and obtain post-secondary enrollment and degree verification(s)
Signature

Clear
Typed full legal name

First NameMiddle NameLast Name
Date

MonthDayYear
mm-dd-yyyy
For an application to be complete, Upward Bound must be in receipt of a completed, signed, and submitted (electronically):
- STUDENT APPLICATION form
- PARENT/HOUSEHOLD INFO form and
- HS COUNSELOR REFERRAL form.
Incomplete applications will not be advanced to the next stage of the review process.

Truman State University Upward Bound