Morehouse College TRIO Programs Application

What TRIO Program are you applying for?

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

Please select a program:*

Educational Talent Search (ETS) Regional UBMS Greater Orlando UBMS State Center UBMS Meriwether/Talbot Upward Bound Phoenix/Mays Upward Bound Atlanta Metropolitan Upward Bound Shiloh Upward Bound Cobb County Upward Bound

Please ensure you have selected the correct program before clicking "Next " .

Student Profile: Part 2

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 commitment on your part, including, but not limited to tutoring, informational sessions, and a summer program. Briefly explain why you think you have the commitment to follow through on all the required activities.*

Share a quote from a famous person that matches your life goals. Why is it relevant to you?*

Income Verification

Are you an orphan or ward of the court or were you a ward of the court until the age of 18?*

Yes No

Did your parent(s) or guardian(s) file a tax return last year?*

Yes No

Number of Members in Household*

Select the income bracket your family 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*

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Recommendations

Teacher 1 Name *

First Name

Last Name

Teacher 1 Email *

Confirm Teacher 1 Email *

Teacher 2 Name *

First Name

Last Name

Teacher 2 Email *

Confirm Teacher 2 Email *

Counselor's Name *

First Name

Last Name

Counselor's Email *

Confirm Counselor's Email *

Signature and Authorization

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.*

I certify.

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.*

I authorize.

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. *

I authorize.

Student Signature*

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Use your mouse or finger to draw your signature above

Date*

Parent/Guardian Signature*

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Use your mouse or finger to draw your signature above

Date*

Save and Resume Later

Progress

What TRIO Program are you applying for?

Program Description

Student Information

Student Profile: Part 1

Student Profile: Part 2

Parent/Guardian Information

Income Verification

Recommendations

Signature and Authorization