Morehouse College-Cobb County-UB-Application Form

Cobb County Upward Bound
Welcome to the Morehouse College Cobb County Upward Bound Program

Thank you for your interest in the Morehouse College Cobb County Upward Bound Program! We are excited that you are considering joining our program. Please review the information below to learn more and complete your application. Once submitted, all applications will be reviewed, and applicants will receive an admission decision within 14 days of submission.

Program Overview
The Morehouse College Cobb County Upward Bound Program is a federally funded TRIO program sponsored by the U.S. Department of Education. Cobb UB helps high school students achieve academic success, develop leadership skills, and prepare for college. The Cobb UB program serves students from Pebblebrook High School, Osbourne High School, and South Cobb High School through year-round academic support, educational enrichment, and a summer residential experience on the campus of Morehouse College.

Program Services
" Academic Tutoring and Advising
" College Tours and Cultural Enrichment Experiences
" Summer Residential Programming
" SAT/ACT Preparation and Financial Aid Workshops
" Career Exploration, Mentoring, and Leadership Development
Eligibility Requirements
To be eligible for the Cobb UB Program, students must:
" Maintain a 2.5 GPA or higher
" Come from a low-income household
" Be a first-generation college student (neither parent has earned a four-year college degree)
- Student's Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Gender
- Age
- Student's Personal Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Student Phone
  (999)999-9999
- Is it okay to receive texts fromthe program?
- Ethnic Origin (Check all that apply):
- US Citizen
- Social Security #:
  999-99-9999
- Are you currently in middle school or high school?
- What school do you attend?
- Grade Level/ Classification
- Current GPA on a 4.0 Scale
- T-shirt Size
- Who do you live with?
- Educational Plans after HighSchool
- Please check the assistance youneed:
- How did you learn about thisprogram?
- Are you currently participating in any other programs such as Upward Bound, Upward Bound Math/Science, Gear-Up, etc.?
- Do you know the correct high school classes to take to prepare for college?
- How often do you meet with your middle or high school counselor?
- Have you ever thought about dropping out of high school?
- Do you participate in extracurricular activities?
- What extracurricular activities doyou participate in?
- Have you attempted to contactthe college of your choice forinformation?
- Do you need a college application or SAT/ACT fee waiver?
- Rank your academic ability in the following subject areas: Math,Science, Reading, Writing,History/Social Studies
- Please explain why you should be selected for the Morehouse College TRIO Program you are applying for. In this essay,include how that specific program( i.e. UB or UBMS) can benefit you, the contributions you can make to this program, and how the program can help you achieve your goals.
- Please provide a short description of yourself including your academic interests and your educational and career goals.What barriers or challenges will you have to overcome to achieve your goals? Please include what degree you hope to earn and what major(s) you want to study.
- The Morehouse College TRIO Programs requires commit menton your part, including, but not limited to tutoring, informational sessions, and a summer program.Briefly explain why you think you have the commitment to followt hrough on all the required activities
- Share a quote from a famous person that matches your life goals. Why is it relevant to you?
- Parent/Guardian 1
- Marital Status (please selectone):
- Name
- Phone
  (999)999-9999
- Parent/Guardian 1 Email
- Employer
- Occupation
- Highest Education Attained byParent 1
- Parent/Guardian 2
- Are you an orphan or ward of the court or were you a ward of the court until the age of 18?
- Did your parent(s) or guardian(s)file a tax return last year?
- Federal TRIO Programs Current-Year Low-Income Levels
  Effective January 13, 2026, until further notice.
  Size of Family Unit 48 Contiguous States, D.C., and Outlying Jurisdictions Alaska Hawaii
  1 $23,940 $29,925 $27,540
  2 $32,460 $40,575 $37,335
  3 $40,980 $51,225 $47,130
  4 $49,500 $61,875 $56,925
  5 $58,020 $72,525 $66,720
  6 $66,540 $83,175 $76,515
  7 $75,060 $93,825 $86,310
  8 $83,580 $104,475 $96,105
  Each Additional Family Member $8,520 $10,650 $9,795
- Number of Members in Household
- Select the income bracket yourfamily falls in
- I certify that all financial information provided in this application is
  accurate. I understand that falsifying information will result in
  immediate rejection of this application.
- Parent Signature
- Teacher 1 Name
- Teacher 1 Email
- Teacher 2 Name
- Teacher 2 Email
- Counselor's Name
- Counselor's Email
- I agree that all the information provided is true to the best of my
  knowledge. I also understand that any false information I have
  provided may result in the denial of my application and/or my
  immediate dismissal from the program. I understand that if I
  enroll in any Morehouse College TRIO Program, I must participate
  in activities designed to achieve my academic goals and promote
  my holistic development.
- I certify that all information provided in this application is accurate. I understand that falsifying information will result in immediate rejection of this application.
- Authorization to Release Information:I authorize the Morehouse
  TRIO Programs personnel to obtain copies of mine or child's
  transcripts, grade reports and test scores, or any other
  information necessary to determine eligibility for services. I
  permit the TRIO Program Staff to release confidential information
  to scholarships, post-baccalaureate, or external programs for
  educational planning purposes.
- I authorize the release of information.
- Privacy Act:I understand that the information will be kept in
  confidence and will not be revealed to anyone except Morehouse
  College TRIO personnel in accordance with the Family Educational
  Rights and Privacy Act.
- I have read and understand the Privacy Act.
- Student Signature
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Parent/Guardian Signature
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate

Cobb County Upward Bound