TRiO Programs


Contact Upward Bound

Irish Hall A, Room #118

Arizona State University
PO Box 870812
Tempe, AZ 85287-0812

E-Mail: UB@asu.edu
Phone: (480) 965-6483
Fax: (480) 727-7536

Upward Bound
ASU UB Alumni Tracking Form

PERSONAL INFORMATION
Name
Mailing Address
City
State
Zip
E-mail Address
Phone
 Area Code: No.:
Web Site Address
[if any]
EDUCATION INFORMATION
High School
HS Graduating Class
Year(s) in UB

Postsecondary Institution(s)

i.e., university, college, technical school, etc.
Area of Study
Degree(s) Obtained including Year(s) [if any]
 i.e., college degree, license, certificate, etc.
Year(s) Financial Aid Received [if any]
 i.e., scholarships, grants, work study, loans, etc.
PROFESSIONAL INFORMATION
Occupation(s)
Accomplishment(s)
 i.e., employment, family, community project, honors/awards, etc.
OTHER INFORMATION
Best UB Memory
Advice for current UB Students
What does UB mean to you?
Would you like to serve as a mentor to a current student? Yes No
Other than for tracking purposes, may we contact you for UB/TRIO related events? Yes No
Best way to be contacted Regular Mail
E-mail Message
Phone Call
Comments [if any]
 

PRIVACY ACT:   In accordance with the Privacy Act of 1974 (Public Law No. 93-579, 5 U. S.C. 552A), you are hereby notified that the US Department of Education is authorized to collect information to implement the Upward Bound program under Title IV of the Higher Education Act of 1965, as amended (Pub. Law 102-325, sec. 402C).  In accordance with this authority, the Department receives and maintains personal information on participants in the Upward Bound program.  The principle purpose for collecting this information is to administer the program, including tracking and evaluating participants’ academic progress.  The information that is collected will be retained in the program files and may be released to other Department officials in the performance of official duties