Upward Bound- Johnson

New Student Application

Education by Engagement

Dear School Counselor Recommender,

This student is applying for admission into the Upward Bound Program at Vermont State University. Your assessment of this student is a crucial element in the selection process. When completing this form please upload a copy of the student's state achievement test scores and all transcripts on file along with your recommendation. As part of the Upward Bound application both the parent and student have signed a Publicity and High School Release of Information document. We will provide your school with a copy of these release forms shortly. Should you have any questions or concerns, please feel free to contact us at (802) 635-1267.

We appreciate your cooperation and candor in completing this form.

School Counselor Recommendation:

High School Name *

Student Last Name *

Student First Name *

Middle Name

Guidance Recommender Name *

School Counselor Recommender Title *

School Counselor Recommender Email *

School Counselor Recommender Phone *

Student Current Grade *

Current Curriculum Pathway

Expected Graduation Date *

Missed Days of School

Any Student Disciplinary Actions or Suspensions *

Disciplinary Actions or Suspensions Explained *

Do you Feel This Student Capable of Succeeding in a College Preparation Curriculum? *

Possible Areas for Support *

Type of Postsecondary Education *

Motivation to Enroll in Postsecondary Education *

______________________________________________________________________________________________________________________________________

School Counselor Recommender Comments

In the space below please add additional comments on motivation, behavior, personality, strengths or weaknesses that you feel will help us in evaluating this students application. Also please describe any personal and/or academic challenges this student may have experienced since starting high school. If discretion is necessary, please supply the information in person or by the telephone (802) 635-1267.

You may also upload your response on the following line if this would be more convenient for you.

School Counselor Recommendation Comments

School Counselor Recommendation Upload

Upward Bound is funded through the U.S. Department of Education to serve first-generation and modest-income students from our target schools who want to attend college.

Please remember to upload a copy of the student's state assessment scores and all transcripts on file to complete this application.

Student School Records *

Sign and Submit:

School Counselor Recommender Signature *

Please select a signature verification type.

Date *