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Student Applicant Survey


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East Stroudsburg University
Trio Building
East Stroudsburg, PA 18301
(570) 422-3509
(570) 422-2850 (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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