Dear Veteran: I would like to introduce you to the Veterans Upward Bound (VUB) program at the University of Texas

at Arlington. VUB is an intensive educational and skills program designed specifically to serve the needs of todays veterans. A unique range of services are offered which are designed to prepare eligible veterans for success when they enter their chosen educational program, whether that is at a university, community college, or technical school. If you are interested in continuing your education, the time to act is NOW! We can assist you in getting up to speed prior to starting classes, giving you a leg-up and a sense of confidence as you return to the classroom. Services provided include:

Personal academic advising and career counseling Academic and career assessments Academic refresher courses in math, science, composition, literature, foreign language, and computer skills Assistance completing college, financial aid, and GI Bill applications College readiness workshops Tutoring and mentoring Financial literacy workshops Referrals to other agencies providing supportive services to veterans

All services, including instruction, textbooks, advising, and supplies are provided FREE for qualifying veterans. VUB serves 135 veterans each year from Dallas and Tarrant Counties. If you dont currently live in one of these areas call us we might be able to refer you to a program closer to your location. For more information about what the Veterans Upward Bound program can do for you, please call us at 817-272-9882 email us at veteransub@uta.edu, or check our website at www.uta.edu/veteransub. We look forward to helping you continue your education! Sincerely,

Lisa Thompson, Director

Lets Get Back to YOUR FUTURE

What is VETERANS UPWARD BOUND?
Veterans Upward Bound at the University of Texas at Arlington is a free program for qualified veterans, designed to motivate and assist veterans in the development of academic and other requisite skills necessary for acceptance and success in a program of postsecondary education. The program provides assessment and enhancement of basic skills through counseling, mentoring, tutoring and academic instruction in the core subject areas of mathematics through precalculus, laboratory science, foreign language, composition and literature. The primary goal of the program is to increase the rate at which participants enroll in and complete postsecondary education programs.

How Does Veterans Upward Bound Work?

The program is totally FREE. All books and classroom materials are provided. In our Resource Center, you receive individualized tutoring from an instructor who has identified your strengths and needs. You will advance at your own pace, refresh those forgotten skills, and propel towards academic success in higher education. Our counselor answers questions you have about the college enrollment process and helps you make vital contacts with people at the school you plan to attend. Other services include: Basic skills development to help veterans successfully complete a high school equivalency program and gain admission to college education programs. Short-term remedial or refresher classes for high school graduates that have put off pursuing a college education. Assistance with applications to the college or university of choice. Assistance with applying for financial aid. Academic advice and assistance. Career Counseling. Personalized Counseling. Assistance in getting veterans services from other available resources. Exposure to cultural events, academic programs, and other educational activities.

Who Can Join Veterans Upward Bound?

In order to be eligible for Veterans Upward Bound, participants must meet the following criterion:

Reside in Tarrant or Dallas County; Served in active duty in the U.S. Armed Forces for more than 180 days and received other than a dishonorable discharge; Be either low-income (based on family income and number of dependents) or potential first generation college students (neither parent earned a 4-year degree); All participants must demonstrate academic potential as well as have academic need. For Additional Information Contact: Veterans Upward Bound Program The University of Texas at Arlington P.O. Box 19345 406 Summit Avenue Arlington, Texas 76019 Phone: (817) 272-9VUB Fax: (817) 272-9883 Email: veteransub@uta.edu Website: http://www.uta.edu/veteransub
Funded 100% by the U.S. Department of Education
Applications are accepted for review regardless of race, color, national origin, religion, gender or disability (U.S. Dept. of Education -GEPA Section 427).

Veterans Upward Bound Application

PART I: BASIC / PERSONAL INFORMATION Social Security Number:

First Name:

MI:

Last Name:

Mailing Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Date of Birth:

Preferred E-Mail Address:

Gender:

Ethnicity:

PART II: ELIGIBILITY INFORMATION U.S. Citizen? YES NO Veteran? YES NO

Eligibility Requirements: I have served at least 181 days of Active Duty I was a member of a reserve component of the Armed Forces, called to Active Duty for a period of more than thirty (30) days I was a member of a reserve component of the Armed Forces who served on Active Duty in support of a contingency operation on or after September 11, 2001

Type of Discharge:

Discharge Date:

NOTICE: You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code.

Please complete the chart below on your parents/guardians education: (Check all that apply) Elementary High School 2-year College/University 4-year College/University Father / Male Guardian Attended Completed Mother / Female Guardian Attended Completed

INCOME VERIFICATION

An application cannot be considered without verification of income. What was your Taxable Income (1040-line 43, 1040A-line 27, 1040EZ-line 6)? $_______________ Number of Dependents (exemptions) claimed: ________________________ I did not file taxes last year: ________________________

Employment Status: Do you have a documented service related disability? YES NO

PART III: EDUCATIONAL INFORMATION Did you graduate from high school? If yes, what year: If no, did you receive a GED certificate? If you received a GED, what year did you receive it: YES NO YES NO

Have you previously attended any postsecondary institution? If yes, what year(s): If yes, what institution: Are you currently attending a postsecondary institution? If yes, what institution:

YES

NO

YES

NO

NOTICE: You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code.

Failure to complete and sign this portion will result in your application review being delayed. I certify that this application information is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules, and regulations at the University of Texas at Arlington. Furthermore, I authorize the University of Texas at Arlington TRiO Pre-College Programs to verify the information I have provided. I understand that this information will be relied upon by officials of the University in determining my eligibility for the program and that submission of false information is grounds for denial of my application, withdrawal of an offer of acceptance, cancellation of enrollment, and/or any other appropriate disciplinary action. I also authorize the University of Texas at Arlington TRiO Pre-College Programs to electronically access my records possessed at The University of Texas at Arlington.

SIGNATURE

DATE

Application Checklist
__ Completed Application
(Application must be typed and signed when submitted)

__ Copy of your DD Form 214 "Certificate of Release or Discharge from Active Duty"

__ Income Verification Documentation

(Must include one of the following: A signed U.S. Income Tax Return, IRS Tax Transcript, or a statement of annual income from another U.S. governmental source)

__ U.S. Citizenship / Permanent Resident Documentation

(Must include one of the following: A copy of your Social Security Card, copy of your Permanent Resident Card, or documentation verifying you have are in process to obtain U.S. Citizenship)

THANK YOU - PLEASE SUBMIT THE COMPLETED FORM & DOCUMENTS TO: UT Arlington TRIO Veterans Upward Bound P.O. Box 19345 Arlington, Texas, 76019

NOTICE: You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code.