Name while in Upward Bound:

Current last name (if different):

In what years did you participate in Upward Bound?

High school attended:

Current address (street, city, state, zip):

Current phone:

Current e-mail address:

What are you doing now? Are you currently: (Please check one of the boxes below.)

Working

Enrolled in college full-time
Enrolled in college part-time
Taking college classes but not enrolled in degree program
Enrolled in Certificate Program
Enlisted in U.S. Military

Other - Please specify:

If you have attended college since graduating high school:

When did you first begin college?

And where?

Have you transferred schools?
Not Applicable Yes No

If so, where?

And when?

If you are currently enrolled in college or graduate school:

Are you enrolled? Not Applicable Full-time Part-time

What type of college do you attend? Not Applicable Public, 2-Year Private, 2-Year Public, 4-Year Private, 4-Year Public, Doctural Private, Doctural Public, Vocational-Technical Proprietary

What is your major?

What is your minor (if you have one)?

What is your current grade level? Not Applicable Freshman Sophomore Junior Senior Graduate Student (Master's)

What financial aid were you awarded for most current academic year? (Please check all that apply.)

What is your grade point average?
(based on not applicable 4-point 5-point other scale)

Have you graduated from college? Not Applicable Yes No

Are you contemplating graduate school? Not Applicable Yes No

Any other news you would like to let us know about?

When you are finished:

Thank you for this information. We really appreciate your taking the time to let us know how you're doing!