Texas Tech University Upward Bound Programs
STUDENT POLICIES HANDBOOK RECEIPT ACKNOWLEDGEMENT
This form will serve as the ONLY form valid for ALL Upward Bound (UB) Program activities occurring
September 1, 2015 through August 31, 2016
Please read the Student Policies Handbook publication thoroughly and discuss it with your family. If you have any questions or need
clarification in regards to any of the policies please speak to one of the UB administrators as soon as possible so that we may answer
any of your questions.
You acknowledge that we have received a copy of the Upward Bound Student Policies Handbook and understand that student(s) will
be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the handbook.
Student’s Printed Name
Parent or Legal Guardian’s Printed Name
Student’s Signature
______________________
Date
Parent or Legal Guardian’s Signature
______________________
Date