HOPE COLLEGE TRiO UPWARD BOUND ALUMNI QUESTIONNAIRE
Date:__________________
Please take the time to complete this form, and return it to:
Hope College TRiO Upward Bound
Graves Hall RM 011
263 College Avenue
Holland, MI 49423–9000
Dear Hope College TRiO Upward Bound Alumnus:
We appreciate your continued interest in TRiO Upward Bound and are happy to hear from you! As you may recall, the federal
government requires TRiO Upward Bound programs to track their participants’ through college graduation. This information is used to
measure the program’s success, make decisions regarding continued funding, and provide opportunities for future generations of
Upward Bounders. We ask that you take a few minutes to complete the form below, and to update us regularly with any changes in
your postsecondary academic career.
Thank you in advance for your cooperation! Please call the UB office at (616) 395-7745 for additional information or to say “hi”
directly. Wishing you continued success,
Your Hope College TRiO Upward Bound Staff
Last Name, First Name of UB Alumnus:
Current Street Address:
City / State / Zip
Permanent Address:
City / State / Zip
Cell Phone:
Home Phone:
Name of High School:
Email Address:
Undergraduate Education
Year Graduated from UB:
Are you currently enrolled in a college or university? Yes / No
Dates attended (month/year):
College Attending:
Current Year:
Major :
Freshmen
Sophomore
Senior
Not Applicable
Other (if other please explain)
Minor :
Anticipated graduation year:
If you are currently not enrolled in college, when will you enroll?
Degree Completion
Major :
Have you earned your Bachelors Degree?
Yes / No
Colleges attended:
College from where you graduated
Post Graduate Education
Are you currently enrolled in graduate school? Yes / No
College Attending:
Anticipate degree:
Anticipated year of graduate school graduation:
Minor :
Date:
Institution:
Junior
Degree Completion
Have you earned a Masters Degree or PHD?
Yes / No
Colleges Attended:
College from where you graduated:
Degree(s) earned:
Year of graduate school graduation:
What are your future plans (college, career, life)? Please be specific.
Employment Information
Current Employment:
Address of Employer:
Occupation and title:
Please identify the most important thing you learned during your first year of college? What advice would you give
incoming UB students?
Please identify how your TRiO Upward Bound experience influenced your education and career.
As an Alumnus or Alumna of Upward Bound, would you be interested in being invited to address current Upward Bound
students about how the program has influenced you? Yes/No
Would you be interested attending a TRiO Upward Bound Alumni Reunion?
Yes/No
Comments:
Please provide your parent and family contact information for future reference. Thank you.
Parent(s) Name(s): ________________________________________
Phone(s): (H) _________________
(C) ______________
Street Address: ___________________________________________
City/State/Zip: _____________________________________
Relative’s Name _________________________________________
Phone(s): (H) _________________
Street Address: __________________________________________
City/State/Zip: _____________________________________
(C) _______________
If you have any questions, please call Debbie at the
Hope College TRiO Upward Bound Office
at (616) 395-7745 or E-mail at vasquez@hope.edu
Thank you for your time. We will gladly update your record.
U/ub/confidential/academic/ayforms/2010/alimni/2alumni questionnaire