UB Alumni
Section 1
First Name
Last Name
Current Address
City
State
Zip code
Phone number
Email
Section 2
What high school did you graduate from?
What Year?
Section 3
Are you in the military?
Yes
No
If yes, list which armed force
Section 4
Are you attending or have you attended any college or vocational/career training institution?
Yes
No
If no, skip section 5, proceed to section 6.
If Yes, provide name and date attended ( mm/yyyy - mm/yyyy)
for example:
Evergreen Valley College (10/2002 -present)
San Jose State University (08/2004 -11/2007)
Colleges/Vocational attended & Dates attended
If you are currently enrolled in college/vocational or career training institution, provide the following additional information
Current Major
Current Minor
Current Enrollment Status:
Full-time
Part-time
Less than part-time
Varied Enrollment through academic year
Class Standing:
1st Year
2nd Year
3rd Year
4th Year
5th Year or beyond
Graduate student in master or PH.D program
Section 5
What is the highest degree you have completed?
Associates
Bachelors
Masters
Ph.D
Certificate
Other (specify below)
List all the degrees you have completed, including degree type, name of institution, month and year in which you completed the degree.
For example:
AA, Accounting, Evergreen Valley College, May 2004
BA, Business Administration, San Jose State University, August 2007
Degrees you have completed
Section 6
Skip section 6 if you answered "Yes" in section 4.
Do you plan to attend a college, vocational or career training institution in the future?
Yes
No
If Yes, have you applied for admission?
Yes
No
Yes, I have applied to
Questions only for class of 2009. All other classes skip to Section 8
Section 7
Have you been awarded FINANCIAL AID for the 2009-2010 year?
Yes
No
If yes, list the types of financial aid you have been awarded (ex. Pell Grant, Cal Grant, Student loans, etc.)
Financial aid awarded
Have you been awarded any SCHOLARSHIPS for the 2009-2010 year?
Yes
No
If yes, list scholarships you have been awarded:
Section 8
Is there anything you would like to share with Upward Bound?
Hooray! You are Done! That wasn't so bad. :)
Got a picture you want to share?
Picture
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