With my signature, I hereby grant permission to the staff of the California State University, Dominguez Hills – Upward Bound (CSUDH-UB) TRIO Program to access my child’s school records, including grades, test scores, attendance records, class progress, free or reduced lunch eligibility, and disciplinary records from the time they are admitted into the CSUDH TRIO Upward Bound Program until the time they graduate from high school.
I hereby authorize post-secondary institutions to release to the CSUDH - UB TRIO Program copies of academic records, enrollment data, and student aid awards at any college or university my child attends or will be attending until they graduate from college. These records will be used to access student needs, monitor and report student progress, document eligibility for the program, and report data as required by the United States Department of Education.
As a parent or guardian signing this form, I give permission for my child to participate in all program-sponsored activities. I also give permission for the use of my child’s name and /or photograph for editorial, promotional, recruitment, or educational purposes.
As a parent or guardian signing this portion of the form, I give my permission to the California State University, Dominguez Hills Upward Bound TRIO Program to place my child in a cohort group on which certain academic data will be collected and reported to the United States Department of Education. This data may be used to compare students who do not qualify to receive Upward Bound services.
Only data relevant to academic performance, test results, and college-going rates will be collected on Cohort Grouped Students. This information will be shared with the United States Department of Education who will utilize it in its on-going assessment of TRIO Programs.