Follow-Up Report on Penn State Upward Bound Students

Dear Former Upward Bound Participant or Parent / Guardian: Penn State’s Upward Bound program is funded by the federal government to help students prepare for additional education beyond high school. The government requires that we keep track of how our former students’ educational plans have progressed. Please assist us by completing this form and returning it to us at the address shown below. We will then up date your information in our alumni database and contact you for future events, including job opportunities, reunions, and special events.

Thanks for your help! We look forward to hearing from you.

Project Upward Bound
Penn State University
203 Grange Building
University Park, PA 16802-6701

Name: E-Mail Address:

High School Attended: School Address: (if applicable)

Home Address: City: State: Zip:

Education - If you have attended any schools, colleges, or universities since graduation from high school, please list these below:

College, University, or School:

Type of Degree You Are Seeking or Have Earned:

Area of Study:

Dates You Attended:

Check This Box If You Are Attending Now:

College, University, or School:

Type of Degree You Are Seeking or Have Earned:

Area of Study:

Dates You Attended:

Check This Box If You Are Attending Now:

If you did not graduate (earn a degree or certification) from the school(s) listed above and are not currently enrolled, why did you leave?

If you did not pursue any further education (a degree or certification) after high school , why?

Have you considered going back to school?
Yes
No

Employment - Please list the most recent job(s) you have held since graduating from highschool below:

Employer #1:

Your Job:

Dates Employed:

Employer #2:

Your Job:

Dates Employed:

Employer #3:

Your Job:

Dates Employed:

Military Service - Have you ever been a member of the Armed Forces?
Yes
No

If yes, what branch? Your rank?

Where were you stationed? Dates?

Follow-Up Contact - Please list the name and contact information below for someone who will know your whereabouts for the next few years:

Name: Phone Number:

E-Mail Address:

Finally - Would you be interested in being interviewed or writing a short article about your educational or professional experiences for our student newsletter? Please check one:
Yes
No

Comments - Please share any comments, suggestions, ideas, or questions below:

Web page last modified February 20, 2009 by Web Coordinator.