Upward Bound Program - Project EDGE Exploration & Determination Guarantees Excellence

Please complete the following questions, as required by the United States Department of Education for consideration to become a participant of the UCF Upward Bound Project EDGE Program.

NOTE: You must be a US citizen or legal resident of the United States to participate and receive services from UCF Upward Bound Program. If you are not a US citizen, enter your Permanent Alien Registration Number. If your number is only eight digits, enter a zero after the “A”.

To parent or legal guardian: The personal information, including financial status and educational levels, given to the UCF Upward Bound Program is used for reporting purposes with the United States Department of Education. No one may access, view, or utilize the information unless they work with or for the UCF Upward Bound Program or unless they receive specific or legal authorization to said information. This information is required to determine if your child meets federal eligibility guidelines established by regulation of the United States Department of Education. All information is protected under the Family Educational Rights and Privacy Act (FERPA, 20 USC 1231a).

By being part of the program, we agree to:

1. Take part in at least two EDGE activities each month to stay engaged and connected.
2. Keep open and honest communication with program staff about grades, progress, and any concerns.
3. Work together to support academic success, including using tutoring if grades fall below expectations.
4. Keep contact information current and let staff know right away if there are changes or scheduling conflicts.
5. Encourage and support full participation during the school year and summer so students can get the most out of the program.

The UCF Upward Bound program is a Federally Funded Program. For the applicant to qualify, verification of income is necessary. ALL INFORMATION IS CONFIDENT/ALAND FOR PROGRAM USE ONLY.

PLEASE NOTE:

• See page 1 of your IRS tax form 1040, which documents the TAXABLE INCOME identified above.
• On IRS Form: 1040 see line 15.

By signing this Income Verification Form, I am verifying that the information that I have provided to the UCF Upward Bound program is true and correct to the best of my knowledge.

TRACKING: 

I hereby give permission for the UCF Upward Bound Program to retrieve, store and report education verification information and student outcomes research about me that is gained from the National Clearinghouse and other services.

RESEARCH:

I hereby give permission for the UCF Upward Bound Program to collect and report pertinent information related to ongoing research questions in the TRIO Center. No identifiable data will be made public but aggregate data may be published or presented including: academic measures (GPA & Test Scores), involvement at the University of Central Florida and in TRIO and other educational or personal data that is relevant to the research.

MEDICAL RELEASE:

If medical services are needed by my son/daughter while participating in the UCF Upward Bound Program activities or on field trips, I give my permission for my son/daughter to receive any medical services deemed necessary. 

RECORDS RELEASE: 

I authorize the UCF Upward Bound Program to access and request copies of academic transcripts, grade reports, report cards, standardized test scores, contact information, and any other academic information. from the high schools and colleges attend through my college graduation, I understand that the U.S, Department of Education funds the UCF Upward Bound Program and will use these records to provide academic advisement and other services I also understand that these records will be handled in a confidential manner and that they will be made available only to program staff and representatives from Federal and State Departments of Education. I/We also give permission to the UCF Upward Bound program to request the information identified above from each high school and college that our son or daughter attends. Note: A photocopy of this record release form should be accepted as an original and the date of the application has bearing when the UCF Upward Bound Program requests the information 

ACTIVITY AND FIELD TRIP AUTHORIZATION/RELEASE:

As the parent/ guardian of the applicant, I do willingly execute this release in consideration of the educational benefit to be derived by my child in participating in the UCF Upward Bound Program, a University sponsored activity. I hereby release from liability and hold the University harmless from any and all claims and causes of action, which might be brought by my child for loss of property, personal injury or death sustained by my child arising out of travel or activity conducted by or under the control of the University, I understand that the term "University" as used herein shall include the employees, administrators, agents, and Board of Trustees of the University. 

PHOTO RELEASE:

I, being the parent oF guardian hereby consent that the photograph/video my son/daughter and/or to use their likeness in photograph(s)/vidco(s) in any and all of its publications, and in any and all other media, whether now known or hereafter existing controlled by the UCF Upward Bound program, in perpetuity, and for other uses by the University or Program. I will make NO monetary or other claim against the UCF Upward Bound Program for the use of the photograph(s)/video(s).

By my signature below, I hereby agree to and fully understand all the above issues/conditions and do accept full responsibility as outlined above.

Skyward Parent Portal gives parents and students real-time access to grades, attendance, schedules, and other important information.

The UCF Upward Bound Program requests access to your student’s Skyward account to monitor academic progress, attendance, and class schedules. This will help us provide tutoring, academic support, and early intervention when needed.

We will use this information only to support your student’s success. Upward Bound does not make changes to schedules or records—we serve only as advocates and advisors. By signing below, you grant us access to your student’s Skyward account using the credentials you provide.