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Student Applicant Survey


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Project Upward Bound
East Stroudsburg University
East Stroudsburg, PA 18301
(570) 422-3476
(570) 422-3432 (Fax)

Interim Director
Upward Bound
Uriel Trujillo
utrujillo@po-box.esu.edu
(570)422-3509

Office Hours:
Monday - Friday
8:00 AM - 4:30 PM

 

*Please print and mail along with application

1. List any other organizations, either affiliated with your school (Kutztown Alliance, etc.) or not (Boys & Girls Club, YMCA, church group, etc.) in which you participate.






2. List any alternative organizations (Kids Peace, Wordsworth     Academy, etc.) in which you participate.






3. List any additional assistance (counseling, therapy, after school programs) you're currently receiving.






4. List any additional activities (sports, writing, drama, music, etc.) you would enjoy participating in at Upward Bound.






Thank you,

Upward Bound Staff

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