Application

MARQUETTE UNIVERSITY UPWARD BOUND PERSONAL COUNSELING COLLEGE PLACEMENT ASSISTANCE CAREER PATH DEVELOPMENT COLLEGE PREPARATORY CLASSES TUTORIAL SESSIONS 2008-2009 Application (OVER)

Eligibility continued Marquette University Educational Opportunity Programs Pre College Division Upward Bound (UB) is a pre-college program that prepares high school students to enter and successfully complete college. The program works with students, their parent(s), and their school to help develop the selfconfidence, self-discipline, and the responsibility needed to build a strong foundation for high school, college, and life. Preparing students to enter and successfully complete college, it offers specialized classes, tutorials, college placement assistance, career development labs, personal counseling, and social/cultural activities and trips. Students are recruited from the Milwaukee area during their eighth grade year. Upward Bound Math & Science (UBMS), like UB, prepares high school students to enter and successfully complete college and works with students, their parent(s), and their school to help develop the self-confidence, self-discipline, and responsibility you will need to build a strong foundation for high school, college, and life. UBMS is designed for students with a serious interest in math and science careers. UBMS offers specialized math, science, writing, and technology classes, tutorials, college placement assistance, career development, personal counseling, and social/cultural activities and trips. The program includes a summer component, with students staying on campus for six weeks each summer, and a school-year component. Applicants for this program should be in the ninth grade. Enrollment is limited and preference given to those students who demonstrate strong motivation to learn, a good record of academic achievement, and the intent to graduate from college. In addition, applicants must meet the following eligibility criteria. Low Income OR First Generation 1. Your parents income meets the low income criteria defined by the U.S. Department of Education Size of Family Unit 48 Contiguous States, D.C., and Outlying Jurisdictions Alaska Hawaii 1 $15,600 $19,500 $17,940 2 $21,000 $26,250 $24,150 3 $26,400 $33,000 $30,360 4 $31,800 $39,750 $36,570 5 $37,200 $46,500 $42,780 6 $42,600 $53,250 $48,990 7 $48,000 $60,000 $55,200 8 $53,400 $66,750 $61,410 2. You are from a family where neither parent has completed a four-year college degree.

Target High School OR Area 1. You attend or, if in eighth grade, plan to attend one of the following high schools: Bradley Tech, Riverside, Pulaski, Vincent, and Custer 2. You live within the target area, which is defined by the following zip codes: 53204, 53205, 53206, 53208, 53209, 53210, 53212, 53215, 53216, 53218, and 53233 The Application Process Upon receipt of a complete application, a counselor from the pre-college division will contact applicants for a student interview and testing. Each student sits for an interview with pre-college staff members to discuss her desire to be in the program, motivation, and college plans. In addition, every applicant takes a math and/or reading test to assess ability. Of the two, the interview is the way we determine a student s willingness to participate in our program and motivation to succeed academically. Testing assists us with creating future programming for students. Families are notified via mail concerning all admission decisions; thus decisions will not be discussed over the phone before students receive such notification. Stressing the importance of good nutrition we have a summer food service program and offer the meals to all our participants. If your child is accepted into Upward Bound or Upward Bound Math and Science program he will receive the benefits of the Summer Food Service Program funded by the US Department of Agriculture (USDA) and administered by the WI Department of Public Instruction. Meals will be available at no charge during our summer program. We accept applications from October 1 st March 15 th and schedule interviews individually, notifying students of our admission decision in both January and April. Marquette University does not discriminate on the basis of race, religion, national origin, sex, or disability in its educational programs or activities, including employment and admissions. Upward Bound and Upward Bound Math and Science are sponsored by Marquette University in conjunction with a grant from the United States Department of Education. (OVER)

Eligibility continued Marquette University Educational Opportunity Program Pre-College Division Application I am applying to (check one) Upward Bound (UB) or Upward Bound Math and Science (UBMS) Personal Information Full Name: Address: Last First M.I. Street Address Apartment/Unit # City State ZIP Code Home Phone: ( ) Alternate Phone: ( ) E-mail Address: Gender: Date of Birth: Social Security # : Month/Day/Year Citizenship Status (Check One) : U.S. Citizen Permanent Resident Other, Explain How would you describe yourself (Check One): Amer. Indian/Alaska Native Black/African American Asian Hispanic/Latino Native Hawaiian or other Pac. Islander White Educational Information High School You Attend/Plan to Attend: Current Grade Level: Cumulative Grade Point Average: on a scale Career Goal(s): Extra Curricular Activities and Hobbies: Student Essay Please attach a typed essay describing who you are and why you would like to be a part of Upward Bound or Upward Bound Math and Science (Be sure to specify the program to which you are applying).

Parent(s) Section Please provide the following information for only those adults who live the applicant. Female Head of Household Name What is your relationship to applicant? (Check One) Mother/Adoptive Mother Stepmother Guardian Specify Relationship to applicant Other Male Head of Household Name What is your relationship to applicant? (Check One) Father/Adoptive Father Stepfather Guardian Specify Relationship to applicant Other Education Information (Check the Highest Level of Education) Some High School High School Diploma/GED Some College Associates Degree Bachelors Degree Some Graduate School Graduate Degree Education Information (Check the Highest Level of Education) Some High School High School Diploma/GED Some College Associates Degree Bachelors Degree Some Graduate School Graduate Degree Income Information Do you or your family receive AFDC or Food Stamps?(Check One): No Yes AFCD Case # Food Stamps, Case # Family taxable income (Skip this question if you checked yes in the previous question) (Taxable income can be found on federal tax return form 1040 and 1040 questions 34 and 56 respectively) A. Family Size: B. Total TAXABLE Income C. Tax year filed D. If no tax return was filed, specify reason Statement of Certification I declare, to the best of my knowledge, that the information on this application form is true, correct, and complete. I also agree to send Marquette a copy of your most recent federal income tax forms to verify the information reported on the application. Signature of Parent or Guardian Date (OVER)

Eligibility continued Consent of Release of Educational Information Student Name: I agree to the release of grades, test scores, and transcripts by the high school, district, and/or college to Marquette University s Educational Opportunity Program (EOP). I understand that Marquette will also maintain records of my performance in program activities. I agree to the release of this information to EOP staff members and the U.S. Department of Education. Signature of Student Date Signature of Parent or Guardian Date

APPLICATION CHECKLIST An application is complete only when it contains all the below materials: REQUIRED APPLICATION MATERIALS Completed Pre-College Division Application Completed Teacher/Counselor Form Typed Essay Last two report cards Current tax return (showing that applicant is a dependent and parents taxable income) Letter of Recommendation from math or science teacher UBMS ONLY Consent of Educational Release Return complete application to: Pre-College Division Marquette University-EOP Marquette Hall, 409 1217 W. Wisconsin Avenue Milwaukee, WI 53233 414-288-7368 (OVER)

Teacher/Counselor Form Student Name Date Teacher/Counselor Name Program Need Section UBMS would like information on how we can help this student benefit from the program. Your responses in this section will not enhance or diminish your recommendation Increasing Educational Aspirations Choosing College Prep Courses Developing Career Goals Learning English as a 2nd Language Developing Confidence & Self-Esteem Overcoming Socio/Economic Barriers Degree of Help Needed Minimal Extensive Letter of Recommendation From Math/Science Teacher (UBMS Only) The above student has applied to the UBMS (Upward Bound Math and Science) program and has requested that you write a letter of recommendation on his/her behalf. Please comment on your observation of the student s motivation to learn and desire to attend college. Please also remark on the student s behavior in and out of the classroom and his/her drive to achieve academically. Special strengths and/or weaknesses should be noted as well. Name: Relationship to student: Phone # Signature: Date: