Morehouse College-Atlanta Metro-UB-Application Form

Atlanta Metro Upward Bound (UB) Application

Hosted by Morehouse College
About the Program

The Atlanta Metropolitan Upward Bound (AMUB) Program at Morehouse College is a federally funded TRIO program designed to help high school students excel academically, develop personally, and prepare for success in college. The program serves students from BEST Academy, North Clayton High School, and Forest Park High School, providing year-round support through academic advising, tutoring, enrichment trips, cultural activities, and a summer residential experience on Morehouse’s campus.

Our mission is to empower young men to graduate from high school, enroll in college, and persist to degree completion.

Program Services Include:

- Tutoring and academic advisement
- College tours and cultural enrichment trips
- Summer residential experiences
- SAT/ACT prep and financial aid workshops
- Career exploration and mentoring

Eligibility Requirements

- Maintain a 2.5 GPA or higher
- Be from a low-income household and/or a first-generation college student (meaning neither parent has earned a four-year college degree)
- Student Information
- Full Name:
  
  First NameMiddle InitialLast Name
- Mailing Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Date of Birth:
  
  MonthDayYear
  mm-dd-yyyy
- Age:
- Gender:
- Citizenship Status:
- Social Security Number:
  999-99-9999
- Are you a U.S. citizen?
- Are you a Permanent Resident?
- Are you an orphan or ward of the court or were you a ward of the court until the age of 18?
- Phone:
  (999)999-9999
- Email:
  example@example.com
- Current School:
- Grade:
- Grade:
- Background Information
- Ethnic Background:
- Ethnic Background (Please check as many as apply)
  
  Other
- Primary Language(s) at Home:
- Who do you currently reside with?
- Guardian (if applicable):
- Currently in TRIO or GEAR UP program?
- Education & Aspirations
- Current GPA:
- Colleges of Interest:
- Career Interests:
- Degree Goals (Associate’s, Bachelor’s, etc.):
- What type of degree(s) do you plan to obtain? (Check all that apply)
- What classes (if any) do you think that you will need tutoring in?
- Upload an unofficial copy of your transcript
  
  Cancelof
- Personal Essay
- In 300-500 words, please describe your educational/professional aspirations and why you are applying to the Atlanta Metropolitan Upward Bound program. Please refrain from using any AI to write your response.
- Parent/Guardian Contact
- Name:
  
  First NameLast Name
- Relationship:
- Email:
  example@example.com
- Phone:
  (999)999-9999
- Parent/Guardian Information
- Parent/Guardian Name(s):
  
  First NameLast Name
- Phone(s):
  (999)999-9999
- Email:
  example@example.com
- Student Information
- Student Name:
  
  First NameLast Name
- Grade:
- Educational & Household Income Information
- Does mother have a 4-year degree?
- Does father have a 4-year degree?
- Income Verification
  
  Size of Family - Taxable Income (Low-Income Levels)
  1 - $23,940
  2 - $32,460
  3 - $40,980
  4 - $49,500
  5 - $58,020
  6 - $66,540
  7 - $75,060
  8 - $83,580
  
  Link to Federal income changes:
  
  https://www.ed.gov/about/ed-offices/ope/trio/federal-trio-programs-current-year-low-income-levels
- Number of Members in Household:
- What was your Parent's/Guardian's taxable income last year?
  Please note that Taxable Income is usually lower than Adjustable Gross Income which is located at the bottom of the first page of most tax forms. Annual Taxable Income can be found on page 2 of most tax forms.
- Certification
  
  I certify that the above information is correct.
- Parent/Guardian Signature:
- Date:
  
  MonthDayYear
  mm-dd-yyyy
- I certify that all financial information provided in this application is accurate. I understand that falsifying information will result in the immediate rejection of this application.
- Release of Student Records
  
  I authorize the Atlanta Metropolitan Upward Bound Program of Morehouse College to access and/or receive copies of my student’s academic transcripts, grade reports, report cards, test scores, and any other academic information and test results necessary to complete the program’s application process.
- Student Name:
  
  First NameLast Name
- Media Release
  
  Periodically, students participating in the Upward Bound Program events may be photographed, filmed, or interviewed. As the parent and/or legal guardian of {studentName77}, I grant permission for my child to participate in photographs, films, social media or interviews as they pertain to the Upward Bound Program and I understand that such pictures, films, social media, or interviews may be used to promote or publicize the Atlanta Metropolitan Upward Bound Program events or demonstrate how federal funds are being used to assist students.
- Parent’s Full Name
  
  First NameLast Name
- Student's Full Name
  
  First NameLast Name
- Student's School
- I authorize release of my school records (transcripts, test scores, etc.)
- I have uploaded a copy of my most current transcript.
- Student Signature:
- Date:
  
  MonthDayYear
  mm-dd-yyyy
- Parent's Signature:
- Date:
  
  MonthDayYear
  mm-dd-yyyy
- Authorization
  
  I authorize UB staff to access my child’s academic records (transcripts, test scores, attendance, etc.)

Atlanta Metro Upward Bound (UB) Application