UEP CRITERIA & BENEFITS of PARTICIPATION
PRIVACY NOTICE:
“State law requires that you be informed of the following:
(1) With few exceptions, you are entitled on request to be informed about the information that the University collects about you by the
use of this form;
(2) Under sections552.021 and 552.023 of the Government Code, you are entitled to receive and review the information; &
(3) Under sections 559.004 of the Government Code, you are entitled to have the University correct information about you that is
incorrect.”
Minimum Requirements
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Admission to the University of Houston Main Campus
Completion of Application I (Personal Data Form)
No GPA requirement (Individual Circumstances Considered)
Membership enrollment will be offered during the first three weeks of each semester
Students will submit an application and will interview with UEP office staff
Admitted students will be required to meet with the Director/Graduate Assistant within the first
two months of the semester to develop an academic performance action plan
Admitted students will be expected to attend UEP events / programs
Admitted students meet monthly with their student leader liaison to review their academic action
plan
Additional Requirements
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Must demonstrate financial need
Complete a personal essay
Personal interview
Recommendation letters
First or second generation to attend college
Personal obstacles or family difficulties
Membership Benefits
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Individualized services and assistance (each person is able to bring their personal need for us to
meet or assist)
Receive guidance in developing a personalized academic/student success action plan
Initial alert about exciting and new upcoming programs and services
One on one mentoring from upperclassmen students and staff
Leadership opportunities to represent the University at prestigious engagements
Increased opportunity to become a student leader within the UEP office
Only Members qualify to apply for Educational Equity Leader Advancement Award
Only Members qualify to apply for the Community Scholarship Award
An inclusive environment on campus that provides community and belonging for all
Advocate for your UH student experience
Urban Experience Program Application
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UEP PERSONAL DATA FORM – I (Application)
Date: _______________
Semester _________
1. Full Name: ___________________________________
My Uh Id # ______________
2. Date of Birth ____/____/______
3. Classification ________Hours________________
3b.Expected Graduation ___________________
4. UH Major _____________________
5. Name of High School __________________ High School Graduation Date_______________
6. Residence During School Year:
On Campus Address: Bldg. ___________________________ Room: ___________________
Off Campus Address: _________________________________________________________
City: ______________________ State:___________ Zip:_____________
7. Home Phone: _________________________
Cell Phone:___________________________
8. Email Address: ______________________________________________________________
a. Parent(s) /Guardian Name(s)
b. Parent(s) /Guardian Name(s)
Address
Address
Phone
Phone
9. U.S. Citizen: Yes
No
If No indicate country of citizenship_______________________________________
10. Please provide information regarding your class schedule below:
Course
& No.
SEC.
#
Days
Location
Time
Hrs.
Instructor
11. How did you hear about the Urban Experience Program: (Please check all that apply)
______ Admissions/Recruitment Event ___________ Resident Advisor
______ Campus Tour
___________ An academic advisor
______ Orientation
____________ A UEP Student
______ Cougar Movers
____________Other:________________
Urban Experience Program Application
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STUDENT ASSISTANCE PROFILE
Directions: Please check the areas listed below in which you feel you need assistance.
Individualized academic plan development
Personalized student success coaching
Test taking techniques
Note taking skills
Writing Skills
Reading Skills
Learning Style (how do I learn best)
Managing time or budgeting time
Selecting courses and planning class schedules
Preparing Financial Aid Forms (ex: filling out FASFA)
Finding scholarships
Finding a job (on or off campus)
Tutoring
Specify course topic ______
Building relationships with people
Getting involved on campus
Counseling
Other __________
Additional Comments:
Urban Experience Program Application
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